| NPI | 1144059502 |
|---|---|
| Doing Business As | GRANT PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | TONY J KOKKATT President 248-799-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |