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

Tidewater Pharmacy & Medical Supply LLC

Organization Prosthetic/Orthotic Supplier · NPI 1760876486

Tidewater Pharmacy & Medical Supply LLC is a Prosthetic/Orthotic Supplier 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 29464-3052
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

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence 35780 (SC)

Record details

NPI number1760876486
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Straughan — Owner/Pharmacist · (843) 375-6310
Other names Tidewater Pharmacy & Compounding
NPI enumeratedMarch 19, 2015
Last updated in NPPESJanuary 31, 2016
Mailing address421 Johnnie Dodds Blvd, Ste 100, Mount Pleasant, SC 29464-2689

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