Healthcare Provider Details

I. General information

NPI: 1972424679
Provider Name (Legal Business Name): CDP3703 INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3703 WESTFIELD AVE
CAMDEN NJ
08105
US

IV. Provider business mailing address

3703 WESTFIELD AVE
CAMDEN NJ
08105
US

V. Phone/Fax

Practice location:
  • Phone: 856-963-7899
  • Fax: 856-963-7898
Mailing address:
  • Phone: 856-963-7899
  • Fax: 856-963-7898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: LOKESHWAR ANCHURI
Title or Position: OWNER
Credential:
Phone: 732-343-4796