Individual
DR. GORDON SCOTT SACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-7287
(608) 263-9424
Mailing address
777 HIGHLAND AVE, MADISON, WI 53705-2222
(608) 262-9491
(608) 261-1330
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
13791
WI
Other
Enumeration date
07/01/2006
Last updated
07/08/2007
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