Ingles Pharmacy #076

LBN: Ingles Markets Inc
Ingles Pharmacy #076 is an health care organization with primary practice located at 879 Joe Frank Harris Pkwy Se , Cartersville GA 30120-2482. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Ingles Markets Inc can be contacted via phone (770) 382-8226, or through Cucchi, Stephen V via phone (828) 669-2941.

Contact Information

Primary practice address
879 Joe Frank Harris Pkwy Se Cartersville GA 30120-2482
Fax: (770) 382-8241
Website:
Authorized official contact:
Name: Cucchi, Stephen V RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009736 Georgia

Profile Details

NPI number 1104115203
LBN Legal business name Ingles Markets Inc
DBA Doing business as Ingles Pharmacy #076
Authorized official Cucchi, Stephen V RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2011
Last updated Aug 14th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104115203 NPPES
Georgia MEDICAID 003116605A

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