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General NPI Number Information
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NPI Number | 1619086683
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Entity Type | Organization
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Legal Business Name | H-E-B, LP
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/16/2018
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Provider Practice Location Address
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Address Line | 6960 BARKER CYPRESS RD
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City | HOUSTON
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State | TX
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Zip | 77084
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Country | US
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Telephone | 281-345-1303
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Fax | 281-345-1392
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Provider Business Mailing Address
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Address Line | 646 SOUTH FLORES
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City | SAN ANTONIO
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State | TX
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Zip | 78204
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF THIRD PARTY AFFAIRS
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Name | JAY BUECHE
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Credential | RPH
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Telephone | 210-938-8578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 22322
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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