Healthcare Provider Details

I. General information

NPI: 1275443616
Provider Name (Legal Business Name): PITT STREET COMPOUNDING PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 PITT ST
MOUNT PLEASANT SC
29464-5318
US

IV. Provider business mailing address

111 PITT ST
MOUNT PLEASANT SC
29464-5318
US

V. Phone/Fax

Practice location:
  • Phone: 843-884-4051
  • Fax: 843-884-9117
Mailing address:
  • Phone: 843-884-4051
  • Fax: 843-884-9117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. BRANDI SKYE SHERBERT
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 843-884-4051