Organization
INGLES MARKETS INC
Active
Other names
Ingles Pharmacy #147
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN V CUCCHI RPH (VP OF PHARMACY)
(828) 669-2941
Entity
Organization
Contact information
Practice address
2111 SHELBY RD, KINGS MOUNTAIN, NC 28086
(704) 739-2350
(704) 739-2354
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
10160
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0235959
—
NC
Enumeration date
09/05/2008
Last updated
08/15/2019
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