Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK BACON, PHARMACY TECH
ActiveDERRICK BACON, PHARMACY TECH is a Pharmacy Technician healthcare provider located in PONTIAC, Michigan. NPI 1104544071 is currently active in the NPPES registry. Verify at CMS.
Pharmacy Technician · PONTIAC, MI
Registration Details
- NPI Number
- 1104544071
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2022 (3.9718071089766 yrs)
- Last Updated
- Aug 17, 2022
- License
-
5303041916 (MI)
Practice Information
- Address
-
360 MARTIN LUTHER KING JR BLVD NPONTIAC, MI, 483421712Browse MI providers · Browse ZIP 48342
- Phone
- 2483320602
- Primary Specialty
-
Pharmacy Technician
183700000X
Other Pharmacy Technician Providers in PONTIAC, MI
| Name | Credential | NPI |
|---|---|---|
| MICHELE DENISE GRIFFIN | — | 1518534338 |
| CHARLES MICHAEL NAYLOR | PHARMACY TECHNICIAN | 1952978538 |
| HOLLY LYNN HUDSON | CPHT | 1003484551 |
| SELENA YANG | — | 1508529512 |
| KARA KAMINSKI | CPHT | 1104645621 |
| ROBERT MASON | CPHT | 1427850031 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.