Provider Demographics
NPI:1518518711
Name:STOCKING, BRAD K (PHARM-D)
Entity Type:Individual
Prefix:MR
First Name:BRAD
Middle Name:K
Last Name:STOCKING
Suffix:
Gender:M
Credentials:PHARM-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2225 E 2540 S
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-6540
Mailing Address - Country:US
Mailing Address - Phone:435-272-7952
Mailing Address - Fax:435-674-4552
Practice Address - Street 1:20 N BLUFF ST
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3334
Practice Address - Country:US
Practice Address - Phone:435-673-8898
Practice Address - Fax:435-674-4552
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT264021-17011835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care