Agape Rx

LBN: Agape Pharmacy Inc
Agape Rx is an health care organization with primary practice located at 1626 Main St Ste B Ste B, Columbia SC 29201-2818. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Agape Pharmacy Inc can be contacted via phone (803) 451-7289, or through Gilliam, Stacey via phone (803) 454-0365.

Contact Information

Primary practice address
1626 Main St Ste B Ste B Columbia SC 29201-2818
Phone: (803) 451-7289
Fax: (803) 451-7394
Website:
Map and Directions
Authorized official contact:
Name: Gilliam, Stacey PHARM.D
Phone: (803) 454-0365

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 15037 South Carolina

Profile Details

NPI number 1154590289
LBN Legal business name Agape Pharmacy Inc
DBA Doing business as Agape Rx
Authorized official Gilliam, Stacey PHARM.D
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2008
Last updated Jul 27th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154590289 NPPES
South Carolina MEDICAID 798421
South Carolina Other 2093484

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