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 |