Individual provider · Type 1 NPI

Deedra Brackeen Fontana, RPH

Pharmacist · Indianola, MS

NPI number 1972103455 Active

Practice location

633 Highway 82 W
Indianola, MS 38751-2078

Call (662) 887-3788 Map

Mailing address

45 Gower Ln
Leland, MS 38756-9480

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XE-8028 (MS)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

5 other providers at this address

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About NPI 1972103455

Deedra Brackeen Fontana, RPH's National Provider Identifier is 1972103455, issued on Oct 26, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Indianola, MS. The record was last updated on Oct 26, 2020.