MEDICARE: MICHAEL SORENSON PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	5626684-1701	UT

General Provider Information

NPI Number	:	1144196411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL SORENSON PHARMD

Provider Business Mailing Address
First Line	:	575 W MAIN ST
Second Line	:
City	:	VERNAL
State	:	UT
Zip	:	84078-2405
Country	:	US
Telephone Number	:	435-789-7011
Fax Number	:	435-781-4804

Provider Business Practice Location Address
First Line	:	575 W MAIN ST
Second Line	:
City	:	VERNAL
State	:	UT
Zip	:	84078-2405
Country	:	US
Telephone Number	:	435-789-7011
Fax Number	:	435-781-4804

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2025
Last Update Date	:	10/14/2025

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Directions to “ MICHAEL SORENSON PHARMD” Practice Location

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