Healthcare Provider Details

I. General information

NPI: 1013829753
Provider Name (Legal Business Name): LUCAS STOCKS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 QUINTARD DR
OXFORD AL
36203-1803
US

IV. Provider business mailing address

1500 BRIARCLIFF RD
RAINBOW CITY AL
35906-7645
US

V. Phone/Fax

Practice location:
  • Phone: 256-835-6766
  • Fax:
Mailing address:
  • Phone: 256-504-5508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number21939
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: