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

Sandra Marie Derrickson, PHARMDRPH

Individual provider Pharmacist · NPI 1295312510

Sandra Marie Derrickson, PHARMDRPH is a Pharmacist in Mattoon, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021

Practice location Address checks out

212 S Logan Ave
Mattoon, IL 61938-4595
Phone: (217) 235-3126
Fax: (217) 234-3675
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 351.037480 (IL)

Record details

NPI number1295312510
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMDRPH
Sole proprietorNo
NPI enumeratedMarch 24, 2021
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021
Mailing address212 S Logan Ave, Mattoon, IL 61938-4595

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