IndividualActive
Sandra Derrickson, PHARMD RPH
NPI 1295312510 · Pharmacist · Mattoon, IL
Sandra Derrickson, PHARMD RPH is a Pharmacist provider in Mattoon, IL (NPI 1295312510).
Provider details
- NPI number
- 1295312510
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD RPH
- Sex
- Female
- Sole proprietor
- No
- License
- 351.037480 (IL)
Practice location
212 S Logan Ave
Mattoon, IL 61938-4595
Phone: (217) 235-3126
Fax: (217) 234-3675
Street-level locationGet directions
Mailing address
212 S Logan Ave
Mattoon, IL 61938-4595
Registry dates
- Enumerated
- 2021-03-24
- Last updated
- 2021-03-24
- Certified
- 2021-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.