Organization
INGLES MARKETS INC
Active
Other names
Ingles Pharmacy #414
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
1817 DALLAS- NEBO RD, DOUGLASVILLE, GA 30134
(678) 383-8717
(678) 383-8716
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
PHRE009523
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112743203A
—
GA
Enumeration date
10/28/2008
Last updated
04/10/2020
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