Provider Demographics
NPI:1871717181
Name:HINCKLEY, JESSICA MCCREADY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:MCCREADY
Last Name:HINCKLEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:MCCREADY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:222 TONGASS DR
Mailing Address - Street 2:PHARMACY DEPARTMENT
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-9416
Mailing Address - Country:US
Mailing Address - Phone:907-966-2411
Mailing Address - Fax:907-966-8450
Practice Address - Street 1:222 TONGASS DR
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-9416
Practice Address - Country:US
Practice Address - Phone:907-966-2411
Practice Address - Fax:907-966-8450
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1524183500000X
MT4974183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist