Provider Demographics
NPI:1457688293
Name:BETTS, SACHA LA SHUN (PHARM D)
Entity Type:Individual
Prefix:
First Name:SACHA
Middle Name:LA SHUN
Last Name:BETTS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 FAIR OAK DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-5621
Mailing Address - Country:US
Mailing Address - Phone:281-745-8353
Mailing Address - Fax:
Practice Address - Street 1:5200 WESTHEIMER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5413
Practice Address - Country:US
Practice Address - Phone:713-623-0643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-16
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43823183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist