Organization
GRAND LAHSER PHARMACY LLC
Active
Organization
GRAND LAHSER PHARMACY LLC
Active
Other names
PharMor Pharmacy- Grand Lahser
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED SOHOUBAH PHR, SHRM-CP (MEMBER OWNER)
(248) 663-3380
Entity
Organization
Contact information
Practice address
21673 GRAND RIVER AVE, DETROIT, MI 48219-3219
(313) 533-0500
(313) 533-0501
Mailing address
21673 GRAND RIVER AVE, DETROIT, MI 48219-3219
(248) 663-3380
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010005
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508105404
—
MI
01
—
2138881
PK
—
Enumeration date
02/12/2013
Last updated
07/09/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up