Provider Demographics
NPI:1871026716
Name:SAI SWAMI IV INC
Entity type:Organization
Organization Name:SAI SWAMI IV INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DIPAL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-978-7777
Mailing Address - Street 1:811 PRISCILLA ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-3843
Mailing Address - Country:US
Mailing Address - Phone:443-978-7777
Mailing Address - Fax:443-978-7776
Practice Address - Street 1:811 PRISCILLA ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-3843
Practice Address - Country:US
Practice Address - Phone:443-978-7777
Practice Address - Fax:443-978-7776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-07
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2168799OtherPK