Tidewater Pharmacy & Medical Supply LLC
NPI #1053705772 in Mount Pleasant, South Carolina
Provider Information
- NPI Number
- 1053705772
- Entity Type
- Organization
- Organization Name
- Tidewater Pharmacy & Medical Supply LLC
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Mar 19, 2015
- Last Updated
- Jan 31, 2016
Practice Location
- Address
- 421 JOHNNIE DODDS BLVD
- Address 2
- STE 100
- City
- Mount Pleasant
- State
- South Carolina
- ZIP Code
- 29464
- Phone
- (843) 375-6310
Authorized Official
- Name
- CHAD STRAUGHAN, PHARMD
- Title
- OWNER/PHARMACIST
- Phone
- (843) 375-6310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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