TIDEWATER PHARMACY & MEDICAL SUPPLY LLC is a community/retail pharmacy pharmacy in Mount Pleasant, SC. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. TIDEWATER PHARMACY & MEDICAL SUPPLY LLC NPI is 1639562945. The provider is registered as an organization entity type.
The provider's business location address is:
421 JOHNNIE DODDS BLVD
STE 100
MOUNT PLEASANT, SC
ZIP 29464-689
Phone: (843) 375-6310
Fax: (843) 375-6311
The provider's authorized official is Chad Louis Straughan .
The authorized official title is Owner/pharmacist and has the following contact phone number (843) 375-6310.
The CLIA number assigned to this NPI record is 42D2164254 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/11/2015 and was last updated on 1/31/2016.