Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miranda Alexandria Zerrusen

Individual provider Pharmacist · NPI 1437759586

Miranda Alexandria Zerrusen is a Pharmacist in Mattoon, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
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Practice location Address checks out

101 Dettro Dr
Mattoon, IL 61938-9044
Phone: (172) 586-3132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051301319 (IL)

Record details

NPI number1437759586
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 28, 2020
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020

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