NPI | 1528198421 |
---|---|
Doing Business As | DAVIS FOOD AND DRUG #2 |
Entity Type | Organization |
Authorized Contact | MIKE SORENSON Pharmacy Operations Manager 435-789-7011 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: UT 5777367-1703) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 5777367-1703) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2021-06-03 |