| NPI | 1255188454 |
|---|---|
| Doing Business As | FRESHTAKE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JACKSON MITCHELL CEO 404-736-7288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-05-04 |
| Last Update Date | 2024-05-04 |