Tidewater Pharmacy & Medical Supply Llc
Customized Equipment
421 Johnnie Dodds Blvd, Ste 100, Mount Pleasant
South Carolina, 29464
843-375-6310 843-375-6311
Tidewater Pharmacy & Medical Supply Llc is not a DME supplier for medicare equipment and products.Tidewater Pharmacy & Medical Supply Llc is a Customized Equipment in Mount Pleasant, South Carolina. It is located at 421 Johnnie Dodds Blvd, Ste 100, Mount Pleasant and it's customer support contact number is 843-375-6310. The authorized person of Tidewater Pharmacy & Medical Supply Llc is Chad Straughan, PHARMD who is Owner/pharmacist of this DME and his contact number is 478-954-1178. Active license number of Tidewater Pharmacy & Medical Supply Llc is 35780 for Customized Equipment in South Carolina.
Tidewater Pharmacy & Medical Supply Llc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Tidewater Pharmacy & Medical Supply Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Tidewater Pharmacy & Medical Supply Llc |
| Type: | Customized Equipment |
| Location: | 421 Johnnie Dodds Blvd, Ste 100, Mount Pleasant, South Carolina, 29464 |
| Phone: | 843-375-6310 |
| Fax: | 843-375-6311 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Chad Straughan |
| Credentials: | PHARMD |
| Position: | Owner/pharmacist |
| Contact Number: | 478-954-1178 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1962896688 |
| NPI Enumeration Date: | 19 Mar, 2015 |
| NPI Last Update On: | 31 Jan, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tidewater Pharmacy & Medical Supply Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | 35780 | South Carolina | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 421 Johnnie Dodds Blvd, Ste 100 Mount Pleasant, South Carolina |
| Zip: | 29464-3052 |
| Phone Number: | 843-375-6310 |
| Fax Number: | 843-375-6311 |
Patients can reach Tidewater Pharmacy & Medical Supply Llc at
421 Johnnie Dodds Blvd, Ste 100, Mount Pleasant, South Carolina or can
call on customer care at 843-375-6310.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.