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Organization

MINYARD FOOD STORES INC.

Active
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Organization

MINYARD FOOD STORES INC.

Active
Other names
Carnvial Pharmacy #125
Organization subpart
No

Provider details

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

Contact information

Practice address
1706 W IRVING BLVD, IRVING, TX 75061-7137
(972) 254-4179
(972) 259-3904
Mailing address
1706 W IRVING BLVD, IRVING, TX 75061-7137
(972) 254-4179
(972) 259-3904

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10942
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142845
TX
01
4570722
NABP ID#
TX
Enumeration date
11/01/2006
Last updated
11/16/2007
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