Organization
H-E-B, LP
Active
Other names
HEB Pharmacy #630
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LIENDO (GOVERNMENT PROGRAMS MANAGER)
(210) 938-3182
Entity
Organization
Contact information
Practice address
1701 W ALABAMA ST, HOUSTON, TX 77098
(713) 807-7293
(713) 807-7264
Mailing address
646 S FLORES AVE, SAN ANTONIO, TX 78204-1210
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27596
TEXAS STATE BOARD OF PHARMACY
TX
05
—
469429
—
TX
01
—
5904265
NCPDP
TX
Enumeration date
09/21/2011
Last updated
09/25/2020
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