Individual
MR. WILLIAM MASSIE WHITEHEAD II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
615 W WILLOUGHBY AVE, JUNEAU, AK 99801-1731
(907) 796-2280
Mailing address
PO BOX 32660, JUNEAU, AK 99803-2660
(907) 790-7252
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1016
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016
STATE OF ALASKA PHARMACIST LICENSE
AK
Enumeration date
10/18/2012
Last updated
10/27/2020
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