| NPI | 1679644694 |
|---|---|
| Doing Business As | DAVIS DRUG |
| Entity Type | Organization |
| Authorized Contact | FERRIS DERBIDGE Owner 801-525-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: UT 65333491703) | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2019-07-12 |