Provider Demographics
NPI:1639779002
Name:STOCKS, CODY J (PHARMD)
Entity Type:Individual
Prefix:
First Name:CODY
Middle Name:J
Last Name:STOCKS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2610 PIONEER RD
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7442
Mailing Address - Country:US
Mailing Address - Phone:435-674-5792
Mailing Address - Fax:435-674-9354
Practice Address - Street 1:2610 PIONEER RD
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7442
Practice Address - Country:US
Practice Address - Phone:435-674-5792
Practice Address - Fax:435-674-9354
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT80809631701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist