Organization
INGLES MARKETS INC
Active
Other names
INGLES PHARMACY #476
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
825 WEST AVE, CARTERSVILLE, GA 30120-6133
(770) 607-5897
(770) 607-7365
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
PHRE008454
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1148332
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
894572A
—
GA
Enumeration date
07/29/2006
Last updated
08/15/2019
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