Deedra Brackeen Fontana, RPH
NPI #1972103455 in Indianola, Mississippi
Provider Information
- NPI Number
- 1972103455
- Entity Type
- Individual
- Name
- Deedra Brackeen Fontana, RPH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- RPH
- Enumeration Date
- Oct 26, 2020
- Last Updated
- Oct 26, 2020
Practice Location
- Address
- 633 HIGHWAY 82 W
- City
- Indianola
- State
- Mississippi
- ZIP Code
- 38751-2078
- Phone
- (662) 887-3788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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