Organization
GREAT AMERICAN ASSOCIATES LLC
Active
Other names
Grant pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
TONY J KOKKATT (PRESIDENT)
(248) 799-3900
Entity
Organization
Contact information
Practice address
29355 NORTHWESTERN HWY STE 220, SOUTHFIELD, MI 48034-1051
(248) 799-3900
(248) 799-3992
Mailing address
29355 NORTHWESTERN HWY STE 220, SOUTHFIELD, MI 48034-1051
(248) 756-8273
(248) 799-3992
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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