Healthcare Provider Details

I. General information

NPI: 1770422420
Provider Name (Legal Business Name): CAROLYN ORENDORFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4755 OGLETOWN STANTON RD
NEWARK DE
19718-2200
US

IV. Provider business mailing address

100 E WALNUT AVE
MOORESTOWN NJ
08057-1878
US

V. Phone/Fax

Practice location:
  • Phone: 302-733-6366
  • Fax:
Mailing address:
  • Phone: 410-370-1106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17910
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: