Organization
MINYARD FOOD STORES INC.
Active
Organization
MINYARD FOOD STORES INC.
Active
Other names
Minyard Pharmacy #5002
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D. BYARS (PRESIDENT CEO)
(972) 393-8700
Entity
Organization
Contact information
Practice address
7777 FOREST LN STE A62, DALLAS, TX 75230-6881
(972) 566-5800
(972) 566-5889
Mailing address
7777 FOREST LN STE A62, DALLAS, TX 75230-6881
(972) 566-5800
(972) 566-5889
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
21031
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4519762
NABP ID#
TX
05
—
464904
—
TX
Enumeration date
11/21/2006
Last updated
08/22/2020
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