Provider Demographics
NPI:1184282089
Name:ADEKANYE, ALLISON JOY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:JOY
Last Name:ADEKANYE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ALLISON
Other - Middle Name:JOY
Other - Last Name:SOK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:75 REDWOOD DR UNIT 402
Mailing Address - Street 2:
Mailing Address - City:EAST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06513-1972
Mailing Address - Country:US
Mailing Address - Phone:203-688-4052
Mailing Address - Fax:203-688-4886
Practice Address - Street 1:20 YORK ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3220
Practice Address - Country:US
Practice Address - Phone:203-688-4052
Practice Address - Fax:203-688-4886
Is Sole Proprietor?:No
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0012791183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist