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Organization

MINYARD FOOD STORES INC.

Active
Other names
Sack 'n Save #212
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL D. BYARS (PRESIDENT/CEO)
(972) 393-8700
Entity
Organization

Contact information

Practice address
7809 CAMP BOWIE W, FT WORTH, TX 76116-6417
(817) 244-7320
(817) 244-6528
Mailing address
7809 CAMP BOWIE W, FT WORTH, TX 76116-6417
(817) 244-7320
(817) 244-6528

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
12277
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4574314
NABP ID #
TX
05
462798
TX
Enumeration date
11/01/2006
Last updated
11/16/2007
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