Organization
MINYARD FOOD STORES INC.
Active
Other names
Minyard Pharmacy #34
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D. BYARS (PRESIDENT/CEO)
(972) 393-8700
Entity
Organization
Contact information
Practice address
3563 ALTON RD, FT WORTH, TX 76109-2834
(817) 923-3508
(817) 923-1843
Mailing address
3563 ALTON RD, FT WORTH, TX 76109-2834
(817) 923-3508
(817) 923-1843
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
06472
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142574
—
TX
01
—
4562585
NABP #
TX
Enumeration date
10/31/2006
Last updated
11/15/2007
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