Individual provider · Type 1 NPI

Deborah Sue Distefano, CPHT

Pharmacy Technician · South Haven, MI

NPI number 1639264062 Active

Practice location

512 Phoenix Street
South Haven, MI 49090

Mailing address

56667 Orchard Lane
Bangor, MI 49013

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Technician Primary 183700000X2215-0902-2083-111 (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 1639264062

Deborah Sue Distefano, CPHT's National Provider Identifier is 1639264062, issued on Oct 3, 2006. The primary taxonomy on file is Pharmacy Technician (183700000X), and the practice location is in South Haven, MI. The record was last updated on Jul 8, 2007.