| NPI | 1912020025 |
|---|---|
| Doing Business As | HEB PHARMACY #643 |
| Entity Type | Organization |
| Authorized Contact | DAVID LIENDO Government Programs Manager 210-938-3182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 21068) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-09-25 |