Provider Demographics
NPI:1710201975
Name:ROCAFORT-HENNING, ADELE M (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ADELE
Middle Name:M
Last Name:ROCAFORT-HENNING
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:ADELE
Other - Middle Name:M
Other - Last Name:ROCAFORT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:421 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:DUNELLEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08812-1306
Mailing Address - Country:US
Mailing Address - Phone:732-343-1651
Mailing Address - Fax:
Practice Address - Street 1:4041 HADLEY RD
Practice Address - Street 2:BUILDING M
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-1111
Practice Address - Country:US
Practice Address - Phone:908-222-1011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02170700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist