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 Specialty Pharmacy organization located in MOUNT PLEASANT, South Carolina. NPI 1417316548 is currently active in the NPPES registry. Verify at CMS.
Specialty Pharmacy · MOUNT PLEASANT, SC
Registration Details
- NPI Number
- 1417316548
- Provider Type
- Organization
- NPI Issued
- Feb 17, 2016 (10.492278095685 yrs)
- Last Updated
- Feb 17, 2016
- License
-
15890 (SC)
Practice Information
- Address
-
421 JOHNNIE DODDS BLVDSTE 100MOUNT PLEASANT, SC, 294643052Browse SC providers · Browse ZIP 29464
- Phone
- 8433756310
- Fax
- 8433756311
- Primary Specialty
-
Specialty Pharmacy
3336S0011X
Other Specialty Pharmacy Organizations in MOUNT PLEASANT, SC
| Name | NPI |
|---|---|
| RON GROUP | 1053908095 |
| PALMETTO SPECIALTY PHARM LLC | 1134846322 |
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.