Provider Demographics
NPI:1316089220
Name:WHITES INC
Entity type:Organization
Organization Name:WHITES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:907-747-8666
Mailing Address - Street 1:106 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-7540
Mailing Address - Country:US
Mailing Address - Phone:907-966-2102
Mailing Address - Fax:907-966-3979
Practice Address - Street 1:705 HALIBUT POINT RD
Practice Address - Street 2:
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-7306
Practice Address - Country:US
Practice Address - Phone:907-966-2102
Practice Address - Fax:907-966-3979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1268183500000X
AK1423183500000X
AK1153183500000X
AK811183500000X
AK797183500000X
AK2144183700000X
AK2145183700000X
AK2146183700000X
3336L0003X
AK662183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
No183700000XPharmacy Service ProvidersPharmacy TechnicianGroup - Single Specialty
No3336L0003XSuppliersPharmacyLong Term Care PharmacyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKPH0110Medicaid
AKMS0676Medicaid
AK0201513Medicare PIN
AKPH0110Medicaid