| NPI | 1255324554 |
|---|---|
| Doing Business As | DAVIS FOOD AND DRUG #1 |
| Entity Type | Organization |
| Authorized Contact | MIKE SORENSON Pharmacy Operations Manager 435-789-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: UT 5790736-1703) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 5790736-1703) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2021-06-03 |