Provider Demographics
NPI:1770702128
Name:SALAKO, FADEKE H (B PHARM)
Entity type:Individual
Prefix:MRS
First Name:FADEKE
Middle Name:H
Last Name:SALAKO
Suffix:
Gender:F
Credentials:B PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 AUGUSTA DR E
Mailing Address - Street 2:
Mailing Address - City:SINKING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-2128
Mailing Address - Country:US
Mailing Address - Phone:610-678-2565
Mailing Address - Fax:610-678-2565
Practice Address - Street 1:440 LEHIGH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-1750
Practice Address - Country:US
Practice Address - Phone:610-590-1320
Practice Address - Fax:484-920-1540
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP043843L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist