Organization
MINYARD FOOD STORES INC.
Active
Other names
Sack 'n Save #210
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D. BYARS (PRESIDENT CEO)
97239383700
Entity
Organization
Contact information
Practice address
1220 N TOWN EAST BLVD, MESQUITE, TX 75150-7605
(972) 279-1221
(972) 613-6047
Mailing address
1220 N TOWN EAST BLVD, MESQUITE, TX 75150-7605
(972) 279-1221
(972) 613-6047
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
12846
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4577055
NABP ID #
TX
05
—
462928
—
TX
Enumeration date
11/16/2006
Last updated
08/22/2020
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