TIDEWATER PHARMACY & MEDICAL SUPPLY LLC is a compounding pharmacy pharmacy in Mount Pleasant, SC. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. TIDEWATER PHARMACY & MEDICAL SUPPLY LLC NPI is 1053705772. The provider is registered as an organization entity type.
The provider Is Doing Business As Tidewater Pharmacy & Compounding.
The provider's business location address is:
421 JOHNNIE DODDS BLVD
STE 100
MOUNT PLEASANT, SC
ZIP 29464
Phone: (843) 375-6310
Fax: (843) 375-6311
The provider's authorized official is Chad Straughan .
The authorized official title is Owner/pharmacist and has the following contact phone number (843) 375-6310.
The enumeration date for this NPI number is 3/19/2015 and was last updated on 1/31/2016.