Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIDEWATER PHARMACY & MEDICAL SUPPLY LLC
Active OrganizationTIDEWATER PHARMACY & MEDICAL SUPPLY LLC is a Clinic Pharmacy organization located in MOUNT PLEASANT, South Carolina. NPI 1053705772 is currently active in the NPPES registry. Verify at CMS.
Clinic Pharmacy · MOUNT PLEASANT, SC
Registration Details
- NPI Number
- 1053705772
- Provider Type
- Organization
- NPI Issued
- Mar 19, 2015 (11.411910721154 yrs)
- Last Updated
- Jan 31, 2016
- License
-
35780 (SC)
Practice Information
- Address
-
421 JOHNNIE DODDS BLVDSTE 100MOUNT PLEASANT, SC, 29464Browse SC providers · Browse ZIP 29464
- Phone
- 8433756310
- Fax
- 8433756311
- Primary Specialty
-
Clinic Pharmacy
3336C0004X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.