Provider Information for 1285012815
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H-E-B, LP
Other Names:Doing Business As:HEB PHARMACY #714Organization Subpart: NO
NPI: 1285012815
Last Updated: 2020-09-24
Certification Date: 2020-09-24
Certification Date: 2020-09-24
Details
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NPI | 1285012815 | ||||||||||||||||
Enumeration Date | 2015-05-15 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Authorized Official Information | Name: DAVID LIENDO Title: Government Programs Manager Phone: 2109383182 | ||||||||||||||||
Mailing Address | 646 SOUTH FLORES SAN ANTONIO, TX 78204 United States Phone: 210-938-3182 | Fax: | ||||||||||||||||
Primary Practice Address | 2000 RANCH RD. 620 SOUTH STE A LAKEWAY, TX 78734 United States Phone: 512-263-8481 | Fax:512-599-5883 | ||||||||||||||||
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