# FRESHTAKE GROCERY CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FreshTake Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255188454
- **Authorized official:** MR. JACKSON MITCHELL (CEO)
- **Authorized official phone:** (404) 736-7288

## Contact information

- **Practice address:** 2907 WASHINGTON RD STE 102, AUGUSTA, GA 30909-0181
- **Practice address phone:** (706) 504-9450
- **Mailing address:** 2907 WASHINGTON RD STE 102, AUGUSTA, GA 30909-0181
- **Mailing address phone:** (706) 504-9450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/04/2024
- **Last updated:** 05/04/2024