Organization
INGLES MARKETS INC
Active
Other names
Ingles Pharmacy #457
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN V CUCCHI RPH (VP OF PHARMACY)
(828) 669-2941
Entity
Organization
Contact information
Practice address
1735 ZEBULON RD, GRIFFIN, GA 30224-5103
(770) 228-5815
(770) 229-8474
Mailing address
PO BOX 603941, CHARLOTTE, NC 28260-3941
(828) 669-2941
(828) 669-3685
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009820
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003123495A
—
GA
Enumeration date
04/16/2012
Last updated
02/08/2022
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