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Derrick Bacon, PHARMACYTECH
Pharmacy Technician in Pontiac, Michigan
NPI 1104544071

Derrick Bacon is a Pharmacy Technician based in Pontiac, MI. Derrick Bacon practices in Pontiac, MI and has the professional credentials of PHARMACYTECH. The NPI Number for Derrick Bacon is 1104544071 and holds a License No. 5303041916 (Michigan).

The current practice location address for Derrick Bacon is 360 Martin Luther King Jr Blvd N, Pontiac, MI and can be reached out via phone at 248-332-0602.

Location: 360 Martin Luther King Jr Blvd N, Pontiac, MI, 48342-1712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104544071
Provider Name
Derrick Bacon
Credential
PHARMACYTECH
Provider Entity Type
Individual
Gender
Male
Address
360 Martin Luther King Jr Blvd N, Pontiac, MI, 48342-1712
Phone Number
248-332-0602
Fax Number
Provider Enumeration Date
08/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
360 Martin Luther King Jr Blvd N
City
Pontiac
State
Michigan
Zip
48342-1712
Phone Number
248-332-0602
Fax Number
person
Provider Business Mailing Address Details
Address
360 Martin Luther King Jr Blvd N
City
Pontiac
State
Michigan
Zip
48342-1712
Phone Number
248-332-0602
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacy Technician
Speciality
-
Taxonomy
183700000X
License No.
5303041916 (Michigan)
Definition
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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