Derrick Bacon, PHARMACYTECH
Derrick Bacon, PHARMACYTECH is a Pharmacy Technician in Pontiac, Michigan. Licensed in Michigan. Registered with an NPI since 2022.
- Licensed in
- MI
- In the registry since
- 2022
Practice location Address checks out
360 Martin Luther King Jr Blvd NPontiac, MI 48342-1712
Phone: (248) 332-0602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacy Technician (primary) | Taxonomy 183700000X · Licence 5303041916 (MI) |
|---|
Record details
| NPI number | 1104544071 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHARMACYTECH |
| Sole proprietor | No |
| NPI enumerated | August 17, 2022 |
| Last updated in NPPES | August 17, 2022 |
| Certification date | August 17, 2022 |
| Mailing address | 360 Martin Luther King Jr Blvd N, Pontiac, MI 48342-1712 |
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