=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871026716
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SAI SWAMI IV INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/07/2017
-----------------------------------------------------
Last Update Date | 01/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 811 PRISCILLA ST
-----------------------------------------------------
City | SALISBURY
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21804-3843
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-978-7777
-----------------------------------------------------
Fax | 443-978-7776
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 811 PRISCILLA ST
-----------------------------------------------------
City | SALISBURY
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21804-3843
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-978-7777
-----------------------------------------------------
Fax | 443-978-7776
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACIST/DIRECTOR
-----------------------------------------------------
Name | DIPAL PATEL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 443-978-7777
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------