Provider Demographics
NPI:1528668142
Name:STOCKS, RYAN C (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:C
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 1:117 N ESCALANTE DR
Mailing Address - Street 2:
Mailing Address - City:ELK RIDGE
Mailing Address - State:UT
Mailing Address - Zip Code:84651-9509
Mailing Address - Country:US
Mailing Address - Phone:435-773-5551
Mailing Address - Fax:
Practice Address - Street 1:898 S 2550 E
Practice Address - Street 2:
Practice Address - City:SPANISH FORK
Practice Address - State:UT
Practice Address - Zip Code:84660-6190
Practice Address - Country:US
Practice Address - Phone:801-504-9613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-01
Last Update Date:2020-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8977023-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist