Provider Demographics
NPI:1578457446
Name:WATERWAY PHARMACY LLC
Entity type:Organization
Organization Name:WATERWAY PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHIT
Authorized Official - Middle Name:
Authorized Official - Last Name:PAWAR
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:843-734-0612
Mailing Address - Street 1:3373 HIGHWAY 9 E
Mailing Address - Street 2:
Mailing Address - City:LITTLE RIVER
Mailing Address - State:SC
Mailing Address - Zip Code:29566-7826
Mailing Address - Country:US
Mailing Address - Phone:843-734-0612
Mailing Address - Fax:843-734-0793
Practice Address - Street 1:3373 HIGHWAY 9 E
Practice Address - Street 2:
Practice Address - City:LITTLE RIVER
Practice Address - State:SC
Practice Address - Zip Code:29566-7826
Practice Address - Country:US
Practice Address - Phone:843-734-0612
Practice Address - Fax:843-734-0793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy