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PHARMOR PHARMACY- GRAND LAHSER
NPI 1508105404
Pharmacy - Community/Retail Pharmacy in Detroit, MI

Active since February 12, 2013
21673 GRAND RIVER AVE, DETROIT, MI 48219(313) 533-0500(313) 533-0501 Get Directions Write a Review

NPPES record last updated: July 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pharmor Pharmacy- Grand Lahser NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHARMOR PHARMACY- GRAND LAHSER (NPI 1508105404) is a healthcare organization registered as a community/retail pharmacy in Detroit, Michigan and active in the NPI registry since February 2013. The organization lists Mohamed Sohoubah, Member Owner, as its authorized official.

NPPES Registry Identity

NPI1508105404
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGRAND LAHSER PHARMACY LLC
Location Address21673 GRAND RIVER AVEDetroit, MI 48219-3219
Mailing Address21673 Grand River AveDetroit, MI 48219-3219 · (248) 663-3380
Phone(313) 533-0500
Fax(313) 533-0501
Organization SubpartNo
Authorized OfficialMohamed SohoubahMember Owner · (248) 663-3380
Enumeration DateFebruary 12, 2013
Last NPPES UpdateJuly 9, 2015
✔ NPI 1508105404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MI · 5301010005
Definition
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.
21673 GRAND RIVER AVE, Detroit, MI 48219
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Other Names 1

Doing Business AsPharmor Pharmacy- Grand Lahser

Other Identifiers 2

Other2138881Pk
Medicaid1508105404MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAVI NAGALLA
Pharmacist
21673 GRAND RIVER AVE
DETROIT, MI 48219
Wayne County (313) 533-0500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand Lahser Pharmacy LLC's NPI number?

The NPI number for Grand Lahser Pharmacy LLC is 1508105404. It was assigned to this organization in the NPPES registry on February 12, 2013. The provider is doing business as Pharmor Pharmacy- Grand Lahser.

Where is Grand Lahser Pharmacy LLC located?

Grand Lahser Pharmacy LLC is located at 21673 Grand River Ave, Detroit, MI 48219. The listed phone number is (313) 533-0500.

What is Grand Lahser Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Grand Lahser Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Grand Lahser Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grand Lahser Pharmacy LLC was last updated on July 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.