Sandra Marie Derrickson, PHARMD RPH

NPI #1295312510 in Mattoon, Illinois

Provider Information

NPI Number: 1295312510
Entity Type: Individual
Name: Sandra Marie Derrickson, PHARMD RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD RPH
Enumeration Date: Mar 24, 2021
Last Updated: Mar 24, 2021

Practice Location

Address: 212 S LOGAN AVE
City: Mattoon
State: Illinois
ZIP Code: 61938-4595
Phone: (217) 235-3126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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