Bacon, Derrick

Bacon, Derrick is an individual health care provider with primary practice located at 360 Martin Luther King Jr Blvd N , Pontiac MI 48342-1712. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Bacon, Derrick can be contacted via phone (248) 332-0602.

Contact Information

Primary practice address
360 Martin Luther King Jr Blvd N Pontiac MI 48342-1712
Phone: (248) 332-0602
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 5303041916 Michigan

Profile Details

NPI number 1104544071
LBN Legal business name Bacon, Derrick
Credentials PHARMACY TECH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2022
Last updated Aug 17th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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