| NPI | 1487907960 |
|---|---|
| Doing Business As | GRANT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TONY JOHN KOKKATT President 248-799-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301009932) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MI 5301009932) |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: MI 5301009932) | |
| Enumeration Date | 2012-10-20 |
| Last Update Date | 2016-11-29 |