Provider Demographics
NPI:1255749131
Name:STRAUGHAN, CHAD LOUIS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:LOUIS
Last Name:STRAUGHAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 PONSBURY RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-2689
Mailing Address - Country:US
Mailing Address - Phone:478-954-1178
Mailing Address - Fax:
Practice Address - Street 1:421 JOHNNIE DODDS BLVD
Practice Address - Street 2:STE 100
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-2689
Practice Address - Country:US
Practice Address - Phone:843-375-6310
Practice Address - Fax:843-375-6311
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-23
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC35780183500000X
NC16885183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist