DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. STEPHEN WESLEY WICKIZER, PHARMD

Active Sole Proprietor

DR. STEPHEN WESLEY WICKIZER, PHARMD is a Pharmacist healthcare provider located in SIGNAL MTN, Tennessee. NPI 1235434267 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · SIGNAL MTN, TN

Registration Details

NPI Number
1235434267
Provider Type
Individual
Gender
Male
NPI Issued
Jan 23, 2011 (15.545405527771 yrs)
Last Updated
Jan 23, 2011
License
4031 (TN)
Sole Proprietor
Yes

Practice Information

Address
1204 TIMESVILLE RD
SIGNAL MTN, TN, 373772106
Browse TN providers · Browse ZIP 37377
Phone
4238833283
Primary Specialty
Pharmacist
183500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.