Organization
INGLES MARKETS INC
Active
Other names
Ingles Pharmacy #486
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
261 W CLINTON ST, GRAY, GA 31032-6123
(478) 986-3592
(478) 986-9968
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
PHRE009941
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136702A
—
GA
Enumeration date
07/22/2013
Last updated
08/15/2019
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