<Unavail>

LBN: Grand Lahser Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 21673 Grand River Ave , Detroit MI 48219-3219. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Grand Lahser Pharmacy Llc can be contacted via phone (313) 533-0500, or through Sohoubah, Mohamed via phone (248) 663-3380.

Contact Information

Primary practice address
21673 Grand River Ave Detroit MI 48219-3219
Phone: (313) 533-0500
Fax: (313) 533-0501
Website:
Map and Directions
Authorized official contact:
Name: Sohoubah, Mohamed PHR, SHRM-CP
Phone: (248) 663-3380

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301010005 Michigan

Profile Details

NPI number 1508105404
LBN Legal business name Grand Lahser Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Sohoubah, Mohamed PHR, SHRM-CP
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2013
Last updated Jul 9th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508105404 NPPES
Michigan MEDICAID 1508105404
Michigan Other 2138881

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