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
—
—
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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