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Organization
AGAPE PHARMACY INC
Active
Organization
AGAPE PHARMACY INC
Active
Other names
AGAPE RX
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY GILLIAM PHARM.D (PHARMACIST IN CHARGE)
(803) 454-0365
Entity
Organization
Contact information
Practice address
1626 MAIN ST STE B, STE B, COLUMBIA, SC 29201-2818
(803) 451-7289
(803) 451-7394
Mailing address
1626 MAIN ST, STE B, COLUMBIA, SC 29201-2818
(803) 451-7289
(803) 451-7394
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
15037
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2093484
PK
—
05
—
798421
—
SC
Enumeration date
02/22/2008
Last updated
07/27/2016
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