Individual provider · Type 1 NPI

Derrick Bacon, PHARMACY TECH

Pharmacy Technician · Pontiac, MI

NPI number 1104544071 Active

Practice location

360 Martin Luther King Jr Blvd N
Pontiac, MI 48342-1712

Call (248) 332-0602 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Technician Primary 183700000X5303041916 (MI)

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 1104544071

Derrick Bacon, PHARMACY TECH's National Provider Identifier is 1104544071, issued on Aug 17, 2022. The primary taxonomy on file is Pharmacy Technician (183700000X), and the practice location is in Pontiac, MI. The record was last updated on Aug 17, 2022.