Organization
INGLES MARKETS INC
Active
Other names
INGLES PHARMACY #057
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN V CUCCHI RPH (VICE PRESIDENT OF PHARMACY)
(828) 669-2941
Entity
Organization
Contact information
Practice address
283 N BROAD ST, WINDER, GA 30680
(770) 867-7116
(770) 586-0225
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
PHRE009041
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154537
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
973843197A
—
GA
Enumeration date
07/29/2006
Last updated
08/14/2019
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