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

Tidewater Pharmacy & Medical Supply LLC

Organization Community/Retail Pharmacy · NPI 1639562945

Tidewater Pharmacy & Medical Supply LLC is a Community/Retail Pharmacy in Mount Pleasant, South Carolina. Licensed in South Carolina. Registered with an NPI since 2015.

Licensed in
SC
In the registry since
2015
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 29464-2689
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

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 35780 (SC)

Record details

NPI number1639562945
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Lynch — Pic / Manager · (843) 375-6310
NPI enumeratedMarch 11, 2015
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024
Mailing address421 Johnnie Dodds Blvd, Ste 100, Mount Pleasant, SC 29464-2689

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