Provider Demographics
NPI:1891985891
Name:ODDO, CAROL (RPH)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:ODDO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:
Other - Last Name:ODDO-MARKOWITZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:4110 PORTSMOUTH CT
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-4838
Mailing Address - Country:US
Mailing Address - Phone:215-633-8644
Mailing Address - Fax:215-295-4033
Practice Address - Street 1:411 W TRENTON AVE
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:PA
Practice Address - Zip Code:19067-3510
Practice Address - Country:US
Practice Address - Phone:215-295-1000
Practice Address - Fax:215-295-4033
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP035439L183500000X, 1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835G0303XPharmacy Service ProvidersPharmacistGeriatric