Organization
FRESHTAKE GROCERY CORPORATION
Active
Other names
FreshTake Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACKSON MITCHELL (CEO)
(404) 736-7288
Entity
Organization
Contact information
Practice address
2907 WASHINGTON RD STE 102, AUGUSTA, GA 30909-0181
(706) 504-9450
Mailing address
2907 WASHINGTON RD STE 102, AUGUSTA, GA 30909-0181
(706) 504-9450
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/04/2024
Last updated
05/04/2024
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