Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidewater Pharmacy & Medical Supply LLC

Organization Specialty Pharmacy · NPI 1417316548

Tidewater Pharmacy & Medical Supply LLC is a Specialty Pharmacy in Mount Pleasant, South Carolina. Licensed in South Carolina. Registered with an NPI since 2016.

Licensed in
SC
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

421 Johnnie Dodds Blvd Ste 100
Mount Pleasant, SC 29464-3052
Phone: (843) 375-6310
Fax: (843) 375-6311
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialty Pharmacy (primary) Taxonomy 3336S0011X · Licence 15890 (SC)

Record details

NPI number1417316548
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Straughan — Owner/Pharmacist · (842) 375-6310
Other names Tidewater Pharmacy & Compounding
NPI enumeratedFebruary 17, 2016
Last updated in NPPESFebruary 17, 2016
Mailing address421 Johnnie Dodds Blvd, Ste 100, Mount Pleasant, SC 29464-3052

Other providers in Mount Pleasant