Organization
RLS SUPERMARKETS LLC
Active
Other names
MINYARD PHARMACY #49
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PIPER (DIRECTOR OF PHARMACY)
(972) 227-1222
Entity
Organization
Contact information
Practice address
1108 N HIGHWAY 377, ROANOKE, TX 76262-9121
(817) 491-4003
(817) 491-4350
Mailing address
1108 N HIGHWAY 377, ROANOKE, TX 76262-9121
(817) 491-4003
(817) 491-4350
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
29833
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150199
PK
—
05
—
464771
—
TX
05
—
470473
—
TX
Enumeration date
06/01/2006
Last updated
07/19/2016
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