Organization · Type 2 NPI

Tidewater Pharmacy & Medical Supply LLC

Prosthetic/Orthotic Supplier · Mount Pleasant, SC

NPI number 1760876486 Active

Practice location

421 Johnnie Dodds Blvd, Ste 100
Mount Pleasant, SC 29464-3052

Call (843) 375-6310 Map

Fax (843) 375-6311

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000X35780 (SC)

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

6 other providers at this address

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About NPI 1760876486

Tidewater Pharmacy & Medical Supply LLC's National Provider Identifier is 1760876486, issued on Mar 19, 2015. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Mount Pleasant, SC. The record was last updated on Jan 31, 2016.