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Sandra Marie Derrickson, PHARMDRPH
Pharmacist in Mattoon, Illinois
NPI 1295312510

Sandra Marie Derrickson is a Pharmacist based in Mattoon, IL. Sandra Marie Derrickson practices in Mattoon, IL and has the professional credentials of PHARMDRPH. The NPI Number for Sandra Marie Derrickson is 1295312510 and holds a License No. 351.037480 (Illinois).

The current practice location address for Sandra Marie Derrickson is 212 S Logan Ave, Mattoon, IL and can be reached out via phone at 217-235-3126 and via fax at 217-234-3675.

Location: 212 S Logan Ave, Mattoon, IL, 61938-4595
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295312510
Provider Name
Sandra Marie Derrickson
Credential
PHARMDRPH
Provider Entity Type
Individual
Gender
Female
Address
212 S Logan Ave, Mattoon, IL, 61938-4595
Phone Number
217-235-3126
Fax Number
217-234-3675
Provider Enumeration Date
03/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
212 S Logan Ave
City
Mattoon
State
Illinois
Zip
61938-4595
Phone Number
217-235-3126
Fax Number
217-234-3675
person
Provider Business Mailing Address Details
Address
212 S Logan Ave
City
Mattoon
State
Illinois
Zip
61938-4595
Phone Number
217-235-3126
Fax Number
217-234-3675
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
351.037480 (Illinois)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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