Healthcare Provider Details

I. General information

NPI: 1083352850
Provider Name (Legal Business Name): INGLES MARKETS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2022
Last Update Date: 06/24/2022
Certification Date: 06/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 TIFT COLLEGE DR
FORSYTH GA
31029-2318
US

IV. Provider business mailing address

PO BOX 6676
ASHEVILLE NC
28816-6676
US

V. Phone/Fax

Practice location:
  • Phone: 229-201-7479
  • Fax: 229-201-8137
Mailing address:
  • Phone: 828-669-2941
  • Fax: 828-669-3685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN VINCENT CUCCHI
Title or Position: VP, PHARMACY
Credential:
Phone: 828-669-2941