Healthcare Provider Details

I. General information

NPI: 1134845704
Provider Name (Legal Business Name): DONALD CHRISTIAN SACHS JR. PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2022
Last Update Date: 10/17/2022
Certification Date: 10/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1690 SE HARVEST DR
PULLMAN WA
99163-6000
US

IV. Provider business mailing address

2748 17TH ST APT 301
LEWISTON ID
83501-6403
US

V. Phone/Fax

Practice location:
  • Phone: 509-334-2981
  • Fax:
Mailing address:
  • Phone: 954-668-9947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH6135529
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: