NPI | 1942241880 |
---|---|
Former Legal Business Name | AGAPE PHARMACY INC |
Former Legal Business Name | AGAPE PHARMACY INC DBA LTC PHARMACY |
Entity Type | Organization |
Authorized Contact | CATHY SUE DAVIS Cpht Billing Specialist 803-739-4278 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: SC 50007457) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2023-03-07 |