Provider Demographics
NPI:1528618345
Name:SANCHEZ, DONNA LOUISE (PHARM D)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:LOUISE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4704 GILLIS ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1814
Mailing Address - Country:US
Mailing Address - Phone:512-680-9405
Mailing Address - Fax:
Practice Address - Street 1:6001 W PARMER LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78727-3901
Practice Address - Country:US
Practice Address - Phone:512-249-8316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65725183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX65725OtherTSBP