Organization
DAVIS-BURKETT FOOD CORP
Active
Other names
Davis Food and Drug #4
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SORENSON (PHARMACY OPERATIONS MANAGER)
(435) 789-7011
Entity
Organization
Contact information
Practice address
495 N STATE ST, LA VERKIN, UT 84745-5124
(435) 635-6944
(435) 635-1547
Mailing address
495 N STATE ST, LA VERKIN, UT 84745-5124
(435) 635-6944
(435) 635-1547
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
8383904-1703
UT
3336C0003X
Community/Retail Pharmacy
8383904-1703
UT
Other
Enumeration date
11/26/2012
Last updated
06/03/2021
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