Provider Demographics
NPI:1407461486
Name:CPH CORP
Entity Type:Organization
Organization Name:CPH CORP
Other - Org Name:SUPER HEALTH PHARMACY CROFTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RPH
Authorized Official - Prefix:
Authorized Official - First Name:HARISH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHHIBBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-663-1244
Mailing Address - Street 1:484 BEAR CHRISTIANA RD UNIT 6
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-1039
Mailing Address - Country:US
Mailing Address - Phone:302-663-1244
Mailing Address - Fax:302-351-9023
Practice Address - Street 1:484 BEAR CHRISTIANA RD UNIT 6
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-1039
Practice Address - Country:US
Practice Address - Phone:302-663-1244
Practice Address - Fax:302-351-9023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-15
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy