Individual
DIRK T WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
117 GRANITE CREEK RD, SITKA, AK 99835-9578
(907) 738-6337
(907) 966-3979
Mailing address
117 GRANITE CREEK RD, SITKA, AK 99835-9578
(907) 738-6337
(907) 966-3979
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
174H00000X
Health Educator
—
—
183500000X
Pharmacist
Primary
PH811
AK
1835N1003X
Nutrition Support Pharmacist
PH811
AK
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
PH811
AK
208U00000X
Clinical Pharmacology Physician
PH811
AK
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
302F00000X
Exclusive Provider Organization
—
—
305S00000X
Point of Service
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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