IndividualActive
Stacy Wicks, PHARMD
NPI 1144701087 · Clinical Pharmacology Physician · Cooperstown, NY
Provider details
- NPI number
- 1144701087
- Entity type
- Individual
- Primary specialty
- Clinical Pharmacology PhysicianAllopathic & Osteopathic Physicians
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 063230 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1 Atwell Rd
Cooperstown, NY 13326-1301
Phone: (607) 547-3684
Approximate (ZIP-level) locationGet directions
Mailing address
1 Atwell Rd
Cooperstown, NY 13326-1301
Registry dates
- Enumerated
- 2018-08-28
- Last updated
- 2018-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.