# GREAT AMERICAN ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grant pharmacy LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144059502
- **Authorized official:** TONY J KOKKATT (PRESIDENT)
- **Authorized official phone:** (248) 799-3900

## Contact information

- **Practice address:** 29355 NORTHWESTERN HWY STE 220, SOUTHFIELD, MI 48034-1051
- **Practice address phone:** (248) 799-3900
- **Practice address fax:** (248) 799-3992
- **Mailing address:** 29355 NORTHWESTERN HWY STE 220, SOUTHFIELD, MI 48034-1051
- **Mailing address phone:** (248) 756-8273
- **Mailing address fax:** (248) 799-3992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/01/2024
- **Last updated:** 08/01/2024