Organization
H-E-B, LP
Active
Other names
HEB Pharmacy #611
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LIENDO (GOVERNMENT PROGRAMS MANAGER)
(210) 938-3182
Entity
Organization
Contact information
Practice address
598 E HWY 290, DRIPPING SPRINGS, TX 78620
(512) 858-0314
(512) 858-0162
Mailing address
646 SOUTH FLORES, SOUTH 1/PHARMACY, SAN ANTONIO, TX 78204
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26877
TXBP
TX
05
—
469797
—
TX
01
—
5900192
NCPDP
—
Enumeration date
06/03/2010
Last updated
09/25/2020
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