MEDICARE: WESLEY ATKINSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183700000X	Pharmacy Technician	TCH161947	CA

General Provider Information

NPI Number	:	1174454227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WESLEY ATKINSON

Provider Business Mailing Address
First Line	:	395 SCHOONER RIDGE CT
Second Line	:
City	:	DIXON
State	:	CA
Zip	:	95620-4504
Country	:	US
Telephone Number	:	530-574-4582
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 CALIFORNIA DR
Second Line	:
City	:	VACAVILLE
State	:	CA
Zip	:	95687
Country	:	US
Telephone Number	:	707-448-6841
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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Directions to “ WESLEY ATKINSON ” Practice Location

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