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Tidewater Pharmacy & Medical Supply Llc
Compounding Pharmacy in Mount Pleasant, South Carolina
NPI 1053705772

Tidewater Pharmacy & Medical Supply Llc is a Compounding Pharmacy based in Mount Pleasant, SC and is specialized in Compounding Pharmacy. Tidewater Pharmacy & Medical Supply Llc practices in Mount Pleasant, SC. The NPI Number for Tidewater Pharmacy & Medical Supply Llc is 1053705772 and holds a License No. 35780 (South Carolina).

The current practice location address for Tidewater Pharmacy & Medical Supply Llc is 421 Johnnie Dodds Blvd, Mount Pleasant, SC and can be reached out via phone at 843-375-6310 and via fax at 843-375-6311.

Location: 421 Johnnie Dodds Blvd, Mount Pleasant, SC, 29464-3052
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053705772
Provider Name
Tidewater Pharmacy & Medical Supply Llc
Credential
Provider Entity Type
Organization
Address
421 Johnnie Dodds Blvd, Mount Pleasant, SC, 29464-3052
Phone Number
843-375-6310
Fax Number
843-375-6311
Provider Enumeration Date
03/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
421 Johnnie Dodds Blvd
City
Mount Pleasant
State
South Carolina
Zip
29464
Phone Number
843-375-6310
Fax Number
843-375-6311
person
Provider Business Mailing Address Details
Address
421 Johnnie Dodds Blvd
City
Mount Pleasant
State
South Carolina
Zip
29464
Phone Number
843-375-6310
Fax Number
843-375-6311
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
35780 (South Carolina)
Definition
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.
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