Minyard Food Stores Inc., NPI 1619055597
Community/Retail Pharmacy in Grand Prairie, TX, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1619055597
NPI Entity Type Organization
Provider Name Minyard Food Stores Inc.
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 2500 S Carrier Pkwy, Grand Prairie, TX, US
Provider Mailing Address 2500 S Carrier Pkwy, Grand Prairie, TX, US, 750525016
Is Sole Proprietor? No
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Organization Official

Official Name MR. Michael D. Byars
Official Position PRESIDENT/CEO
Phone 972-393-8700

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 12282
License State TX
Description A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Other Organization Name

Carnival Pharmacy #216
Doing Business As

Business Address

Minyard Food Stores Inc.
2500 S Carrier Pkwy

Grand Prairie, TX, US

Phone: 972-647-0387
Fax: 972-647-2082

Mailing Address

Minyard Food Stores Inc.
2500 S Carrier Pkwy
Grand Prairie, TX, US
ZIP 750525016
Phone: 972-647-0387
Fax: 972-647-2082

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
462791 TX MEDICAID 05
4574263 TX NABPID# 01

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