| NPI | 1053705772 |
|---|---|
| Doing Business As | TIDEWATER PHARMACY & COMPOUNDING |
| Entity Type | Organization |
| Authorized Contact | CHAD STRAUGHAN Owner/Pharmacist 843-375-6310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: SC 35780) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2016-01-31 |