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Organization

DAVIS-BURKETT FOOD CORP

Active
Other names
Davis Food and Drug #2
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE SORENSON PHARMD (PHARMACY OPERATIONS MANAGER)
(435) 789-7011
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
03/07/2007
Last updated
06/03/2021
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