Organization
MINYARD FOOD STORES INC.
Active
Other names
Sack 'n Save #211
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D. BYARS (PRESIDENT/CEO)
(972) 393-8700
Entity
Organization
Contact information
Practice address
3451 ALTAMESA BLVD, FT WORTH, TX 76133-5701
(817) 294-2517
(817) 294-9678
Mailing address
3451 ALTAMESA BLVD, FT WORTH, TX 76133-5701
(817) 294-2517
(817) 294-9678
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
12278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4574340
NABP ID #
TX
05
—
462793
—
TX
Enumeration date
11/01/2006
Last updated
11/16/2007
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