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Tidewater Pharmacy & Medical Supply Llc
Specialty Pharmacy in Mount Pleasant, South Carolina
NPI 1417316548

Tidewater Pharmacy & Medical Supply Llc is a Specialty Pharmacy based in Mount Pleasant, SC and is specialized in Specialty Pharmacy. Tidewater Pharmacy & Medical Supply Llc practices in Mount Pleasant, SC. The NPI Number for Tidewater Pharmacy & Medical Supply Llc is 1417316548 and holds a License No. 15890 (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
1417316548
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
02/17/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
715890 05 SC
institution
Provider Business Practice Location Address Details
Address
421 Johnnie Dodds Blvd
City
Mount Pleasant
State
South Carolina
Zip
29464-3052
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
29464-3052
Phone Number
843-375-6310
Fax Number
843-375-6311
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
3336S0011X
License No.
15890 (South Carolina)
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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