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Deedra Brackeen Fontana, RPH
Pharmacist in Indianola, Mississippi
NPI 1972103455

Deedra Brackeen Fontana is a Pharmacist based in Leland, MS. Deedra Brackeen Fontana practices in Indianola, MS and has the professional credentials of RPH. The NPI Number for Deedra Brackeen Fontana is 1972103455 and holds a License No. E-8028 (Mississippi).

The current practice location address for Deedra Brackeen Fontana is 633 Highway 82 W, Indianola, MS and can be reached out via phone at 662-887-3788.

Location: 633 Highway 82 W, Indianola, MS, 38756-9480
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972103455
Provider Name
Deedra Brackeen Fontana
Credential
RPH
Provider Entity Type
Individual
Gender
Female
Address
633 Highway 82 W, Indianola, MS, 38756-9480
Phone Number
662-887-3788
Fax Number
Provider Enumeration Date
10/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
633 Highway 82 W
City
Indianola
State
Mississippi
Zip
38751-2078
Phone Number
662-887-3788
Fax Number
person
Provider Business Mailing Address Details
Address
633 Highway 82 W
City
Indianola
State
Mississippi
Zip
38751-2078
Phone Number
662-887-3788
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
E-8028 (Mississippi)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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