Organization
INGLES MARKETS INC
Active
Other names
Ingles Pharmacy #483
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
94 N MAIN ST, HIAWASSEE, GA 30546-2254
(706) 896-4489
(706) 896-4491
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
PHRE009689
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003116599A
—
GA
05
—
0117001
—
NC
Enumeration date
09/15/2010
Last updated
08/15/2019
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