# DAVIS-BURKETT FOOD CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Davis Food and Drug \#4
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558605816
- **Authorized official:** MIKE SORENSON (PHARMACY OPERATIONS MANAGER)
- **Authorized official phone:** (435) 789-7011

## Contact information

- **Practice address:** 495 N STATE ST, LA VERKIN, UT 84745-5124
- **Practice address phone:** (435) 635-6944
- **Practice address fax:** (435) 635-1547
- **Mailing address:** 495 N STATE ST, LA VERKIN, UT 84745-5124
- **Mailing address phone:** (435) 635-6944
- **Mailing address fax:** (435) 635-1547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 8383904-1703 | UT | Yes |
| 3336C0003X | Community/Retail Pharmacy | 8383904-1703 | UT | — |

## Other

- **Enumeration date:** 11/26/2012
- **Last updated:** 06/03/2021