Healthcare Provider Details

I. General information

NPI: 1013558915
Provider Name (Legal Business Name): MICHAEL STOKES PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2019
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 E 3500 N
LEHI UT
84043-3530
US

IV. Provider business mailing address

1499 LLOYD DR
SAINT GEORGE UT
84770-7362
US

V. Phone/Fax

Practice location:
  • Phone: 801-341-6515
  • Fax: 801-341-6516
Mailing address:
  • Phone: 801-513-6169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6159289
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number6159289
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: