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DAVIS-BURKETT FOOD CORP NPI 1558605816


NPI Information

NPI: 1558605816
Provider Name: DAVIS-BURKETT FOOD CORP

Doing Business As: DAVIS FOOD AND DRUG #4

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 46D2170143

Address:
495 N STATE ST
LA VERKIN, UT
ZIP 84745
Phone: (435) 635-6944
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DAVIS-BURKETT FOOD CORP is a pharmacy in La Verkin, UT. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. DAVIS-BURKETT FOOD CORP NPI is 1558605816. The provider is registered as an organization entity type.
The provider Is Doing Business As Davis Food And Drug #4.

The provider's business location address is:

495 N STATE ST
LA VERKIN, UT
ZIP 84745-124
Phone: (435) 635-6944
Fax: (435) 635-1547

The provider's authorized official is Mike Sorenson .
The authorized official title is Pharmacy Operations Manager and has the following contact phone number (435) 789-7011.

The CLIA number assigned to this NPI record is 46D2170143 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/26/2012 and was last updated on 6/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy8383904-1703UTAHYes
23336C0003XPharmacyCommunity/Retail Pharmacy8383904-1703UTAHNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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