Organization
RLS SUPERMARKETS LLC
Active
Other names
MINYARD PHARMACY #32
Organization subpart
No
Provider details
NPI number
Authorized official
RAM MAGANTI (PHARMACY MANAGER)
(972) 227-1222
Entity
Organization
Contact information
Practice address
6464 E MOCKINGBIRD LN, DALLAS, TX 75214-2406
(214) 827-4230
(214) 823-6294
Mailing address
6464 E MOCKINGBIRD LN, DALLAS, TX 75214-2406
(214) 827-4230
(214) 823-6294
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
29817
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150141
PK
—
05
—
463372
—
TX
05
—
470468
—
TX
Enumeration date
06/04/2006
Last updated
12/01/2016
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