IndividualActive
Gordon Sacks, PHARM.D.
NPI 1376572420 · Nutrition Support Pharmacist · Madison, WI
Provider details
- NPI number
- 1376572420
- Entity type
- Individual
- Primary specialty
- Nutrition Support PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 13791 (WI)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
600 Highland Ave
Madison, WI 53792-0001
Phone: (608) 263-7287
Fax: (608) 263-9424
Approximate (ZIP-level) locationGet directions
Mailing address
777 Highland Ave
Madison, WI 53705-2222
Registry dates
- Enumerated
- 2006-07-01
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.