Healthcare Provider Details

I. General information

NPI: 1740494798
Provider Name (Legal Business Name): TRISH D WHITE RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 06/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 LINCOLN STREET
SITKA AK
99835
US

IV. Provider business mailing address

117 GRANITE CREEK RD STE 201
SITKA AK
99835-9578
US

V. Phone/Fax

Practice location:
  • Phone: 907-747-8006
  • Fax: 907-966-3979
Mailing address:
  • Phone: 907-966-2102
  • Fax: 907-966-3979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberAA0662
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: