Organization
MINYARD FOOD STORES INC.
Active
Organization
MINYARD FOOD STORES INC.
Active
Other names
Carnival Pharmacy #216
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D. BYARS (PRESIDENT/CEO)
(972) 393-8700
Entity
Organization
Contact information
Practice address
2500 S CARRIER PKWY, GRAND PRAIRIE, TX 75052-5016
(972) 647-0387
(972) 647-2082
Mailing address
2500 S CARRIER PKWY, GRAND PRAIRIE, TX 75052-5016
(972) 647-0387
(972) 647-2082
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
12282
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4574263
NABPID#
TX
05
—
462791
—
TX
Enumeration date
11/01/2006
Last updated
11/16/2007
Update your record
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