NPI 1528198421 · live from the CMS NPI Registry
Davis-Burkett Food Corp
Pharmacy in Roosevelt, UT. National Provider Identifier 1528198421, active.
NPI record
| NPI | 1528198421 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 750 E 200 N, Roosevelt, UT 84066 |
| Practice phone | 435-722-2255 |
| Enumerated | March 7, 2007 |
| Last updated | June 3, 2021 |
| Authorized official | Mike Sorenson, Pharmacy Operations Manager |
| Other names | Davis Food And Drug #2 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 5777367-1703 (UT) |
| Pharmacy primary | 333600000X | 5777367-1703 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.