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Organization

MINYARD FOOD STORES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL D. BYARS (PRESIDENT/CEO)
(972) 393-8700
Entity
Organization

Contact information

Practice address
3400 W. ILLINOIS, DALLAS, TX 75211-8722
(214) 339-0347
(214) 339-0272
Mailing address
3400 W. ILLINOIS, DALLAS, TX 75211-8722
(214) 339-0347
(214) 339-0272

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25048
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4541428
NCPDP NUMBER
TX
05
466299
TX
Enumeration date
10/31/2006
Last updated
11/16/2007
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