Provider Demographics
NPI:1720232663
Name:WHITE, ALENA MARIE (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:ALENA
Middle Name:MARIE
Last Name:WHITE
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95202-3104
Mailing Address - Country:US
Mailing Address - Phone:209-465-1001
Mailing Address - Fax:
Practice Address - Street 1:711 E MARKET ST
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95202-3104
Practice Address - Country:US
Practice Address - Phone:209-465-1001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH56533183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist