Individual provider · Type 1 NPI

Canon Wheatley

Pharmacy Technician · Austin, TX

NPI number 1104735984 Active

Practice location

2652 Lake Austin Blvd
Austin, TX 78703-4429

Call (512) 474-2001 Map

Fax (737) 610-6383

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Technician Primary 183700000X46288 (TX)

Pharmacy Technician: A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

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About NPI 1104735984

Canon Wheatley's National Provider Identifier is 1104735984, issued on Sep 5, 2026. The primary taxonomy on file is Pharmacy Technician (183700000X), and the practice location is in Austin, TX. The record was last updated on Sep 5, 2026.