IndividualActive
Deedra Fontana, RPH
NPI 1972103455 · Pharmacist · Indianola, MS
Provider details
- NPI number
- 1972103455
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- Yes
- License
- E-8028 (MS)
Mailing address
45 Gower Ln
Leland, MS 38756-9480
Registry dates
- Enumerated
- 2020-10-26
- Last updated
- 2020-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.