# AGAPE PHARMACY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** AGAPE RX
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154590289
- **Authorized official:** STACEY GILLIAM PHARM.D (PHARMACIST IN CHARGE)
- **Authorized official phone:** (803) 454-0365

## Contact information

- **Practice address:** 1626 MAIN ST STE B, STE B, COLUMBIA, SC 29201-2818
- **Practice address phone:** (803) 451-7289
- **Practice address fax:** (803) 451-7394
- **Mailing address:** 1626 MAIN ST, STE B, COLUMBIA, SC 29201-2818
- **Mailing address phone:** (803) 451-7289
- **Mailing address fax:** (803) 451-7394

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 15037 | SC | Yes |

## Other

- **Enumeration date:** 02/22/2008
- **Last updated:** 07/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2093484 | PK | — |
| 05 | — | 798421 | — | SC |