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Tidewater Pharmacy & Medical Supply LLC

Specialty Pharmacy in Mount Pleasant, SC · enumerated 2016 · authorized official Chad Straughan, Owner/Pharmacist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417316548

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Registry record

Entity type Organization (Type 2)
Legal business name Tidewater Pharmacy & Medical Supply LLC
Other name <Unavail>
Practice address 421 Johnnie Dodds Blvd, Ste 100, Mount Pleasant, SC, 29464
Phone (843) 375-6310
Fax (843) 375-6311
Enumeration date Feb 17, 2016
Last updated in NPPES Feb 17, 2016

Taxonomy & classification

3336S0011X Specialty Pharmacy Suppliers · License 15890 (SC) Primary

Authorized official

Name Chad Straughan
Title Owner/Pharmacist
Phone (842) 375-6310

Other identifiers

Identifier Type State Issuer
715890 Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Tidewater Pharmacy & Medical Supply LLC located?
The practice location on file with NPPES is in Mount Pleasant, SC.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-02-17. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-02-17.