Healthcare Provider Details

I. General information

NPI: 1407461486
Provider Name (Legal Business Name): CPH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2020
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

484 BEAR CHRISTIANA RD UNIT 6
BEAR DE
19701-1039
US

IV. Provider business mailing address

484 BEAR CHRISTIANA RD UNIT 6
BEAR DE
19701-1039
US

V. Phone/Fax

Practice location:
  • Phone: 302-663-1244
  • Fax: 302-351-9023
Mailing address:
  • Phone: 302-663-1244
  • Fax: 302-351-9023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HARISH CHHIBBA
Title or Position: RPH
Credential:
Phone: 302-663-1244