Provider Demographics
NPI:1720560485
Name:SACHS PHARMACY LLC
Entity Type:Organization
Organization Name:SACHS PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO - OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NWABUFO
Authorized Official - Middle Name:CHINEDU
Authorized Official - Last Name:CHIDOLUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-683-7071
Mailing Address - Street 1:1210 S INTERNATIONAL PKWY STE 166
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-1691
Mailing Address - Country:US
Mailing Address - Phone:407-680-1839
Mailing Address - Fax:
Practice Address - Street 1:1210 S INTERNATIONAL PKWY STE 166
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-1691
Practice Address - Country:US
Practice Address - Phone:407-680-1839
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPENDING3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy