Organization
RLS SUPERMARKETS LLC
Active
Other names
MINYARD PHARMACY #25
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PIPER (DIRECTOR OF PHARMACY)
(972) 754-4436
Entity
Organization
Contact information
Practice address
4836 W PARK BLVD, PLANO, TX 75093-2330
(972) 964-8287
(972) 985-7807
Mailing address
4836 W PARK BLVD, PLANO, TX 75093-2330
(972) 964-8287
(972) 985-7807
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
29928
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150371
PK
—
Enumeration date
07/02/2006
Last updated
06/18/2015
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