Organization
MINYARD FOOD STORES INC
Active
Other names
Minyard Pharmacy #63
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D. BYARS (PRESIDENT/CEO)
(972) 393-8700
Entity
Organization
Contact information
Practice address
2118 ABRAMS RD, DALLAS, TX 75214-3918
(214) 823-4961
(214) 826-1372
Mailing address
2118 ABRAMS RD, DALLAS, TX 75214-3918
(214) 823-4961
(214) 826-1372
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
13461
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4580040
NABP ID#
TX
05
—
463186
—
TX
Enumeration date
11/01/2006
Last updated
08/22/2020
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