# DAVIS-BURKETT FOOD CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Davis Food and Drug \#2
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528198421
- **Authorized official:** MIKE SORENSON PHARMD (PHARMACY OPERATIONS MANAGER)
- **Authorized official phone:** (435) 789-7011

## Contact information

- **Practice address:** 750 E 200 N, ROOSEVELT, UT 84066-3005
- **Practice address phone:** (435) 722-2255
- **Practice address fax:** (435) 722-3070
- **Mailing address:** 750 E 200 N, ROOSEVELT, UT 84066-3005
- **Mailing address phone:** (435) 722-2255
- **Mailing address fax:** (435) 722-3070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 5777367-1703 | UT | Yes |
| 3336C0003X | Community/Retail Pharmacy | 5777367-1703 | UT | — |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 06/03/2021