Provider Demographics
NPI:1114930542
Name:ORENDER, JAMES P (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:P
Last Name:ORENDER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 N MICHIGAN ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:IN
Mailing Address - Zip Code:46563-1735
Mailing Address - Country:US
Mailing Address - Phone:574-936-3167
Mailing Address - Fax:574-936-6155
Practice Address - Street 1:301 N MICHIGAN ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:IN
Practice Address - Zip Code:46563-1735
Practice Address - Country:US
Practice Address - Phone:574-936-3167
Practice Address - Fax:574-936-6155
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26018146A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist