Organization
DAVIS PHARMACY INC
Active
Other names
DAVIS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
FERRIS DERBIDGE RPH (PRESIDENT)
(801) 779-7820
Entity
Organization
Contact information
Practice address
1492 W ANTELOPE DR, STE 150, LAYTON, UT 84041-1139
(801) 779-7820
(801) 779-7979
Mailing address
1492 W ANTELOPE DR, STE 150, LAYTON, UT 84041-1139
(801) 779-7820
(801) 779-7979
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
65333481703
UT
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4610033
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/13/2006
Last updated
03/12/2013
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