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Organization

SC HOME RX

Active
Other names
AGAPE PHARMACY INC DBA LTC PHARMACY, AGAPE PHARMACY INC
Organization subpart
No

Provider details

NPI number
Authorized official
CATHY SUE DAVIS (CPHT BILLING SPECIALIST)
(803) 739-4278
Entity
Organization

Contact information

Practice address
3685 LEAPHART RD STE A, WEST COLUMBIA, SC 29169-3067
(803) 454-0194
(803) 451-7128
Mailing address
3685 LEAPHART RD STE A, WEST COLUMBIA, SC 29169-3067
(803) 454-0194
(803) 451-7128

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
50007457
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4225137
NABP/NCPDP
SC
05
774573
SC
Enumeration date
06/10/2006
Last updated
03/07/2023
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