Healthcare Provider Details

I. General information

NPI: 1316089220
Provider Name (Legal Business Name): WHITES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 03/03/2020
Certification Date: 03/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 HALIBUT POINT RD
SITKA AK
99835-7306
US

IV. Provider business mailing address

106 LINCOLN ST
SITKA AK
99835-7540
US

V. Phone/Fax

Practice location:
  • Phone: 907-966-2102
  • Fax: 907-966-3979
Mailing address:
  • Phone: 907-966-2102
  • Fax: 907-966-3979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1268
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1423
License Number StateAK
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1153
License Number StateAK
# 4
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number811
License Number StateAK
# 5
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number797
License Number StateAK
# 6
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number2144
License Number StateAK
# 7
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number2145
License Number StateAK
# 8
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number2146
License Number StateAK
# 9
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 10
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number662
License Number StateAK

VIII. Authorized Official

Name: MRS. PATRICIA DIANE WHITE
Title or Position: VICE-PRESIDENT
Credential: RPH
Phone: 907-747-8666