Organization
INGLES MARKETS INC
Active
Other names
Ingles Pharmacy #436
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
1197 BIG A RD, TOCCOA, GA 30577-6028
(706) 886-8711
(706) 886-4956
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
PHRE009925
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003135391A
—
GA
01
—
1163497
NCPDP
—
05
—
7G9925
—
SC
Enumeration date
05/29/2013
Last updated
08/15/2019
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