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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SANDRA MARIE DERRICKSON, PHARMD RPH

Active

SANDRA MARIE DERRICKSON, PHARMD RPH is a Pharmacist healthcare provider located in MATTOON, Illinois. NPI 1295312510 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · MATTOON, IL

Registration Details

NPI Number
1295312510
Provider Type
Individual
Gender
Female
NPI Issued
Mar 24, 2021 (5.3578828103984 yrs)
Last Updated
Mar 24, 2021
License
351.037480 (IL)

Practice Information

Address
212 S LOGAN AVE
MATTOON, IL, 619384595
Browse IL providers · Browse ZIP 61938
Phone
2172353126
Fax
2172343675
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in MATTOON, IL

Name Credential NPI
TONY E RICHARDS R.PH. 1982633509
KAREN L CLAUSING RPH 1083628242
DAVID R CLAUSING RPH 1750395919
EDWARD COCHRAN NEAL RPH 1801178512
MR. DONALD HUTTON II RPH. 1154608511
SEAN M STEP RPH 1881961159
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.