Provider Demographics
NPI:1073311767
Name:CHHIBBA, GOPAL KRISHEN (PHARMD)
Entity type:Individual
Prefix:
First Name:GOPAL
Middle Name:KRISHEN
Last Name:CHHIBBA
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 WHITE CLAY TER
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-3017
Mailing Address - Country:US
Mailing Address - Phone:302-220-3807
Mailing Address - Fax:
Practice Address - Street 1:925 WHITE CLAY TER
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-3017
Practice Address - Country:US
Practice Address - Phone:302-220-3807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP459205183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist