Healthcare Provider Details

I. General information

NPI: 1992030894
Provider Name (Legal Business Name): H-E-B, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2009
Last Update Date: 09/25/2020
Certification Date: 09/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 FM 2920 RD
SPRING TX
77388
US

IV. Provider business mailing address

2121 FM 2920 RD
SPRING TX
77388-3412
US

V. Phone/Fax

Practice location:
  • Phone: 281-907-7950
  • Fax: 281-528-9615
Mailing address:
  • Phone: 281-907-7950
  • Fax: 281-528-9615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberFH1672573
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number26633
License Number StateTX

VIII. Authorized Official

Name: DAVID LIENDO
Title or Position: GOVERNMENT PROGRAMS MANAGER
Credential:
Phone: 210-938-3182