Provider Demographics
NPI:1134845704
Name:SACHS, DONALD CHRISTIAN JR (PHARMD)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:CHRISTIAN
Last Name:SACHS
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2748 17TH ST APT 301
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ID
Mailing Address - Zip Code:83501-6403
Mailing Address - Country:US
Mailing Address - Phone:954-668-9947
Mailing Address - Fax:
Practice Address - Street 1:1690 SE HARVEST DR
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-6000
Practice Address - Country:US
Practice Address - Phone:509-334-2981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH6135529183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist