Organization
RLS SUPERMARKETS LLC
Active
Other names
MINYARD PHARMACY #40
Organization subpart
No
Provider details
NPI number
Authorized official
JAY STEARNS (PHARMACIST IN CHARGE)
(972) 387-8977
Entity
Organization
Contact information
Practice address
7007 ARAPAHO RD, DALLAS, TX 75248-4158
(972) 387-8977
(972) 387-9360
Mailing address
7007 ARAPAHO RD, DALLAS, TX 75248-4158
(972) 387-8977
(972) 387-9360
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
29872
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150196
PK
—
05
—
470470
—
TX
Enumeration date
06/04/2006
Last updated
02/20/2017
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