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Derrick Bacon, PHARMACY TECH
NPI 1104544071 · on the registry since 2022
Practice
- Address
- 360 Martin Luther King Jr Blvd N
Pontiac, MI 48342 - Phone
- (248) 332-0602
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Pharmacy Technician
183700000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan