DERRICK BACON Pharmacy Tech
Individual Provider (NPI-1)
Active
Pharmacy Technician
Provider Information
- NPI Number
1104544071- Provider Type
- Individual Provider (NPI-1)
- Credentials
- Pharmacy Tech
- Status
- Active
Contact & Location
- Address
- 360 MARTIN LUTHER KING JR BLVD N, PONTIAC, MI, 483421712
- Phone
- (248) 332-0602
Specialties & Taxonomies
Pharmacy Technician
Primary License: MI #5303041916