| NPI | 1588735500 |
|---|---|
| Doing Business As | DAVIS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | FERRIS DERBIDGE President 801-779-7820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 65333481703) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2013-03-12 |