Organization
MINYARD FOOD STORES INC.
Active
Organization
MINYARD FOOD STORES INC.
Active
Other names
Carnival Pharmacy #114
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D. BYARS (PRESIDENT/CEO)
(972) 393-8700
Entity
Organization
Contact information
Practice address
2223 SINGLETON BLVD STE 116, DALLAS, TX 75212-3783
(214) 637-6189
(214) 637-3975
Mailing address
2223 SINGLETON BLVD STE 116, DALLAS, TX 75212-3783
(214) 637-6189
(214) 637-3975
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
16608
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144290
—
TX
01
—
4595041
NABP ID#
TX
Enumeration date
11/01/2006
Last updated
11/15/2007
Update your record
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