Organization
RLS SUPERMARKETS LLC
Active
Other names
Minyard Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAY SCHALEK (MANAGING OFFICER)
(325) 277-3524
Entity
Organization
Contact information
Practice address
10121 LAKE JUNE RD, DALLAS, TX 75217-3002
(972) 289-9083
(972) 289-9091
Mailing address
DEPT. D8020, PO BOX 650002, DALLAS, TX 75265
(325) 277-3524
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
27546
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130865
PK
—
05
—
470465
—
TX
Enumeration date
10/31/2006
Last updated
07/20/2016
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