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DEBORAH SUE DISTEFANO CPHT
NPI 1639264062
Pharmacy Technician in South Haven, MI

Active since October 03, 2006
512 PHOENIX STREET, SOUTH HAVEN, MI 49090(269) 637-1161 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deborah Sue Distefano Cpht NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBORAH SUE DISTEFANO CPHT (NPI 1639264062) is an individual pharmacy technician in South Haven, Michigan, licensed in Michigan (2215-0902-2083-111) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1639264062
Entity TypeIndividualFemale
Primary Taxonomy183700000X
Provider Legal NameDEBORAH SUE DISTEFANOCredential: CPHT
Location Address512 PHOENIX STREETSouth Haven, MI 49090
Mailing Address56667 Orchard LaneBangor, MI 49013 · (269) 427-5279
Phone(269) 637-1161
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639264062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy TechnicianPharmacy Service Providers
Taxonomy Code183700000X
License✔ Licensed in MI · 2215-0902-2083-111
Definition
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.
512 PHOENIX STREET, South Haven, MI 49090
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deborah Distefano's NPI number?

The NPI number for Deborah Distefano is 1639264062. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Deborah Distefano located?

Deborah Distefano practices at 512 Phoenix Street, South Haven, MI 49090. The listed phone number is (269) 637-1161.

What is Deborah Distefano's specialty?

The primary specialty registered for this NPI is Pharmacy Technician with taxonomy code 183700000X.

When was this NPI record last updated?

The NPPES record for Deborah Distefano was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.