Organization
INGLES MARKETS INC
Active
Other names
Ingles Pharmacy #372
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
4470 N ROAN ST, JOHNSON CITY, TN 37615-4922
(423) 282-0055
(423) 282-0467
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
00005158
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4446072
NCPDP
—
05
—
4446072
—
TN
Enumeration date
06/19/2013
Last updated
02/08/2022
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