Provider Demographics
NPI:1710201975
Name:HENNING, ADELE M (RPH)
Entity type:Individual
Prefix:MRS
First Name:ADELE
Middle Name:M
Last Name:HENNING
Suffix:
Gender:
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 1:2 BERGEN TPKE STE 2
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07660-2391
Practice Address - Country:US
Practice Address - Phone:908-241-6337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02170700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist