Provider Demographics
NPI:1497191928
Name:SACHS, KATHLEEN D (RPH)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:D
Last Name:SACHS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 S WAYNE RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-4302
Mailing Address - Country:US
Mailing Address - Phone:734-728-5200
Mailing Address - Fax:734-728-8244
Practice Address - Street 1:190 S WAYNE RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-4302
Practice Address - Country:US
Practice Address - Phone:734-728-5200
Practice Address - Fax:734-728-8244
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302028019183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist