Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEEDRA BRACKEEN FONTANA, RPH
Active Sole ProprietorDEEDRA BRACKEEN FONTANA, RPH is a Pharmacist healthcare provider located in INDIANOLA, Mississippi. NPI 1972103455 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · INDIANOLA, MS
Registration Details
- NPI Number
- 1972103455
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 26, 2020 (5.6542162667117 yrs)
- Last Updated
- Oct 26, 2020
- License
-
E-8028 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
633 HIGHWAY 82 WINDIANOLA, MS, 387512078Browse MS providers · Browse ZIP 38751
- Phone
- 6628873788
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in INDIANOLA, MS
| Name | Credential | NPI |
|---|---|---|
| GUY M PHILLIPS | — | 1922187327 |
| MR. JIMMY R POE | PHARMACIST | 1962557025 |
| MR. LLOYD LEON PATTON JR. | RPH | 1922136688 |
| RAYMOND WOO | — | 1831407816 |
| JOHN WILLIAM DOWNS JR. | — | 1962929745 |
| ROBYN SOIGNIER | — | 1841764636 |
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.