Provider Demographics
NPI:1205979127
Name:WHITE'S INC
Entity type:Organization
Organization Name:WHITE'S INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MR
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:907-747-8666
Mailing Address - Fax:907-966-3979
Practice Address - Street 1:106 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-7540
Practice Address - Country:US
Practice Address - Phone:907-747-8666
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:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK662183500000X
AK797183500000X
AK811183500000X
AK1268183500000X
AK1423183500000X
AK1153183500000X
AK2144183700000X
AK2145183700000X
AK2146183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Not Answered183700000XPharmacy Service ProvidersPharmacy TechnicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK0201878OtherBLUE CROSS OF WA AND AK
AKPH0600Medicaid
AKMS0656Medicaid
AK0201878OtherBLUE CROSS OF WA AND AK
AKMS0656Medicaid