Provider Demographics
NPI:1164993820
Name:ADJALOKO, DORCAS VERA (RPH)
Entity Type:Individual
Prefix:DR
First Name:DORCAS
Middle Name:VERA
Last Name:ADJALOKO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1604 ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-1355
Mailing Address - Country:US
Mailing Address - Phone:845-298-2351
Mailing Address - Fax:
Practice Address - Street 1:1604 ROUTE 9
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-1355
Practice Address - Country:US
Practice Address - Phone:845-298-2351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY065033183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist