Organization · Type 2 NPI

Tidewater Pharmacy & Medical Supply LLC

Compounding Pharmacy · Mount Pleasant, SC

NPI number 1053705772 Active

Practice location

421 Johnnie Dodds Blvd, Ste 100
Mount Pleasant, SC 29464

Fax (843) 375-6311

Specialties and licenses

Taxonomy	Code	License
Compounding Pharmacy Primary	3336C0004X	35780 (SC)

Compounding Pharmacy: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compoun…

6 other providers at this address

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About NPI 1053705772

Tidewater Pharmacy & Medical Supply LLC's National Provider Identifier is 1053705772, issued on Mar 19, 2015. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Mount Pleasant, SC. The record was last updated on Jan 31, 2016.