Healthcare Provider Details
I. General information
NPI: 1083426571
Provider Name (Legal Business Name): SARVASVA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/22/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2500 W 4TH ST STE 3
WILMINGTON DE
19805-3352
US
IV. Provider business mailing address
2500 W 4TH ST STE 3
WILMINGTON DE
19805-3352
US
V. Phone/Fax
- Phone: 302-660-8847
- Fax: 302-502-3885
- Phone: 302-660-8847
- Fax: 302-397-3652
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0004X |
| Taxonomy | Compounding Pharmacy |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336S0011X |
| Taxonomy | Specialty Pharmacy |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALPESH
PATEL
Title or Position: PRINCIPAL
Credential:
Phone: 302-426-4716