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Tidewater Pharmacy & Medical Supply Llc
Prosthetic/Orthotic Supplier in Mount Pleasant, South Carolina
NPI 1760876486

Tidewater Pharmacy & Medical Supply Llc is a Prosthetic/Orthotic Supplier based in Mount Pleasant, SC. Tidewater Pharmacy & Medical Supply Llc practices in Mount Pleasant, SC. The NPI Number for Tidewater Pharmacy & Medical Supply Llc is 1760876486 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, 29464-2689
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760876486
Provider Name
Tidewater Pharmacy & Medical Supply Llc
Credential
Provider Entity Type
Organization
Address
421 Johnnie Dodds Blvd, Mount Pleasant, SC, 29464-2689
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
29464-3052
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
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
35780 (South Carolina)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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