Healthcare Provider Details

I. General information

NPI: 1740028497
Provider Name (Legal Business Name): CPH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2024
Last Update Date: 07/17/2024
Certification Date: 07/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

484 BEAR CHRISTIANA RD
BEAR DE
19701-1039
US

IV. Provider business mailing address

484 BEAR CHRISTIANA RD
BEAR DE
19701-1039
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HARISH CHHIBBA
Title or Position: PHARMACIST IN CHARGE
Credential:
Phone: 302-663-1244