Organization
MINYARD FOOD STORES INC.
Active
Other names
Phamracy #5003
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D. BYARS (PRESIDENT/CEO)
(972) 393-8700
Entity
Organization
Contact information
Practice address
5959 HARRY HINES BLVD STE 100, DALLAS, TX 75235-6265
(214) 630-6252
(214) 879-9999
Mailing address
5959 HARRY HINES BLVD STE 100, DALLAS, TX 75235-6265
(214) 630-6252
(214) 879-9999
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
21008
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4513164
NABP ID#
TX
05
—
464830
—
TX
Enumeration date
11/01/2006
Last updated
11/15/2007
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