Organization
MINYARD FOOD STORES INC.
Active
Other names
Minyard Pharmacy #33
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D. BYARS (PRESIDENT/CEO)
(972) 393-8700
Entity
Organization
Contact information
Practice address
4245 E BERRY ST, FT WORTH, TX 76105-5002
(817) 536-4550
(817) 536-4617
Mailing address
4245 E BERRY ST, FT WORTH, TX 76105-5002
(817) 536-4550
(817) 536-4617
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
19060
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4500927
NABP #
TX
05
—
464208
—
TX
Enumeration date
10/31/2006
Last updated
11/15/2007
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