Organization
DAVIS-BURKETT FOOD CORP
Active
Other names
Davis Food and Drug #1
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SORENSON PHARMD (PHARMACY OPERATIONS MANAGER)
(435) 789-7011
Entity
Organization
Contact information
Practice address
575 W MAIN ST, VERNAL, UT 84078-2405
(435) 789-7011
(435) 781-4804
Mailing address
575 W MAIN ST, VERNAL, UT 84078-2405
(435) 789-7011
(435) 781-4804
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5790736-1703
UT
3336C0003X
Community/Retail Pharmacy
5790736-1703
UT
Other
Enumeration date
08/23/2005
Last updated
06/03/2021
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