Organization
RLS SUPERMARKETS LLC
Active
Other names
MINYARD PHARMACY #97
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PIPER (DIRECTOR OF PHARMACY)
(972) 754-4436
Entity
Organization
Contact information
Practice address
10203 E NORTHWEST HWY, DALLAS, TX 75238-4407
(214) 221-5007
(214) 221-5082
Mailing address
10203 E NORTHWEST HWY, DALLAS, TX 75238-4407
(214) 221-5007
(214) 221-5082
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
29871
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150201
PK
—
05
—
470478
—
TX
Enumeration date
06/04/2006
Last updated
07/19/2016
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