Tidewater Pharmacy & Compounding

LBN: Tidewater Pharmacy & Medical Supply Llc
Tidewater Pharmacy & Compounding is an health care organization with primary practice located at 421 Johnnie Dodds Blvd Ste 100, Mount Pleasant SC 29464. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Tidewater Pharmacy & Medical Supply Llc can be contacted via phone (843) 375-6310, or through Straughan, Chad via phone (843) 375-6310.

Contact Information

Primary practice address
421 Johnnie Dodds Blvd Ste 100 Mount Pleasant SC 29464
Phone: (843) 375-6310
Fax: (843) 375-6311
Website:
Map and Directions
Authorized official contact:
Name: Straughan, Chad PHARMD
Phone: (843) 375-6310

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X 35780 South Carolina

Profile Details

NPI number 1053705772
LBN Legal business name Tidewater Pharmacy & Medical Supply Llc
DBA Doing business as Tidewater Pharmacy & Compounding
Authorized official Straughan, Chad PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2015
Last updated Jan 31st, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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