| NPI | 1962897405 |
|---|---|
| Doing Business As | HEB PHARMACY #711 |
| Entity Type | Organization |
| Authorized Contact | DAVID LIENDO Gove RN Ment Programs Manager 210-938-3182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2020-09-25 |