Organization · Type 2 NPI

Tidewater Pharmacy & Medical Supply LLC

Customized Equipment (DME) · Mount Pleasant, SC

NPI number 1962896688 Active

About NPI 1962896688

Tidewater Pharmacy & Medical Supply LLC's National Provider Identifier is 1962896688, issued on Mar 19, 2015. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Mount Pleasant, SC. The record was last updated on Jan 31, 2016.