Tidewater Pharmacy & Medical Supply Llc
Specialty Pharmacy
421 Johnnie Dodds Blvd, Ste 100, Mount Pleasant
South Carolina, 29464-3052
843-375-6310 843-375-6311
Tidewater Pharmacy & Medical Supply Llc is a Specialty Pharmacy 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 Louis Straughan, PHARMD who is Owner/pharmacist of the pharmacy and his contact number is 842-375-6310. Active license number of Tidewater Pharmacy & Medical Supply Llc is 15890 for Specialty Pharmacy in South Carolina.
Tidewater Pharmacy & Medical Supply Llc is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
Pharmacy Details:
Tidewater Pharmacy & Medical Supply Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Tidewater Pharmacy & Medical Supply Llc |
| Type: | Specialty Pharmacy |
| Location: | 421 Johnnie Dodds Blvd, Ste 100, Mount Pleasant,
South Carolina, 29464-3052 |
| 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 pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Chad Louis Straughan |
| Credentials: | PHARMD |
| Position: | Owner/pharmacist |
| Contact Number: | 842-375-6310 |
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 pharmacy are as mentioned below.
| NPI Number: | 1417316548 |
| NPI Enumeration Date: | 17 Feb, 2016 |
| NPI Last Update On: | 17 Feb, 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 | |
| Specialty Pharmacy | 15890 | South Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 715890 | Medicaid | South Carolina | |
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.