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GRAND LAHSER PHARMACY LLC NPI 1508105404


NPI Information

NPI: 1508105404
Provider Name: GRAND LAHSER PHARMACY LLC

Doing Business As: PHARMOR PHARMACY- GRAND LAHSER

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
21673 GRAND RIVER AVE
DETROIT, MI
ZIP 48219
Phone: (313) 533-0500
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GRAND LAHSER PHARMACY LLC is a community/retail pharmacy pharmacy in Detroit, MI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. GRAND LAHSER PHARMACY LLC NPI is 1508105404. The provider is registered as an organization entity type.
The provider Is Doing Business As Pharmor Pharmacy- Grand Lahser.

The provider's business location address is:

21673 GRAND RIVER AVE
DETROIT, MI
ZIP 48219-219
Phone: (313) 533-0500
Fax: (313) 533-0501

The provider's authorized official is Mohamed Sohoubah .
The authorized official title is Member Owner and has the following contact phone number (248) 663-3380.

The enumeration date for this NPI number is 2/12/2013 and was last updated on 7/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy5301010005MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12138881OTHERPK
21508105404MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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