Organization
H-E-B, LP
Active
Other names
HEB Pharmacy #619
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LIENDO (GOVERNMENT PROGRAMS MANAGER)
(210) 938-3182
Entity
Organization
Contact information
Practice address
949 WILLIAM D FITCH PKWY, COLLEGE STATION, TX 77845
(979) 690-4690
(979) 690-4981
Mailing address
646 SOUTH FLORES, SOUTH 1/PHARMACY ATTN: LYNDA RODRIGUEZ, SAN ANTONIO, TX 78204
(210) 938-3182
(210) 938-8832
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26957
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
468850
—
TX
01
—
5900673
NCPDP
—
Enumeration date
07/23/2010
Last updated
09/25/2020
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