# CHICHESTERS INGLESIDE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHICHESTERS INGLESIDE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760511547
- **Authorized official:** TIMOTHY WRIGHT (OWNER)
- **Authorized official phone:** (478) 746-9608

## Contact information

- **Practice address:** 3051 VINEVILLE AVE, MACON, GA 31204-2460
- **Practice address phone:** (478) 746-9608
- **Practice address fax:** (478) 742-6437
- **Mailing address:** 3051 VINEVILLE AVE, MACON, GA 31204-2460
- **Mailing address phone:** (478) 746-9608
- **Mailing address fax:** (478) 742-6437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE000280 | GA | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 01/28/2010