Organization
INGLES MARKETS INC
Active
Other names
Ingles Pharmacy #072
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
4335 FORT HENRY DR, KINGSPORT, TN 37663-2268
(423) 247-9048
(423) 247-9100
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
5323
TN
Other
Enumeration date
04/03/2014
Last updated
02/08/2022
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