Organization
MINYARD FOOD STORES INC.
Active
Other names
Minyard Pharmacy #60
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D. BYARS (PRESIDENT/CEO)
(972) 393-8700
Entity
Organization
Contact information
Practice address
131 WEBBS ROYAL PLZ, DALLAS, TX 75229-3734
(214) 357-0257
(214) 352-4593
Mailing address
131 WEBBS ROYAL PLZ, DALLAS, TX 75229-3734
(214) 357-0257
(214) 352-4593
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
12412
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4575190
NABP #
TX
05
—
462853
—
TX
Enumeration date
11/01/2006
Last updated
11/15/2007
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