# DAVIS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DAVIS PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588735500
- **Authorized official:** FERRIS DERBIDGE RPH (PRESIDENT)
- **Authorized official phone:** (801) 779-7820

## Contact information

- **Practice address:** 1492 W ANTELOPE DR, STE 150, LAYTON, UT 84041-1139
- **Practice address phone:** (801) 779-7820
- **Practice address fax:** (801) 779-7979
- **Mailing address:** 1492 W ANTELOPE DR, STE 150, LAYTON, UT 84041-1139
- **Mailing address phone:** (801) 779-7820
- **Mailing address fax:** (801) 779-7979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 65333481703 | UT | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 03/12/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4610033 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |