Organization
RLS SUPERMARKETS LLC
Active
Other names
MINYARD PHARMACY #76
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PIPER (DIRECTOR OF PHARMACY)
(972) 754-4436
Entity
Organization
Contact information
Practice address
4000 WILLIAM D TATE AVE, GRAPEVINE, TX 76051-8752
(817) 684-9211
(817) 684-9215
Mailing address
4000 WILLIAM D TATE AVE, GRAPEVINE, TX 76051-8752
(817) 684-9211
(817) 684-9215
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
29912
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150375
PK
—
05
—
470476
—
TX
Enumeration date
07/02/2006
Last updated
07/19/2016
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