OrganizationActive
Grand Lahser Pharmacy LLC
NPI 1508105404 · Community/Retail Pharmacy · Detroit, MI
Grand Lahser Pharmacy LLC is a Community/Retail Pharmacy organization in Detroit, MI (NPI 1508105404).
Provider details
- NPI number
- 1508105404
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mohamed Sohoubah, Member Owner(248) 663-3380
- License
- 5301010005 (MI)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21673 Grand River Ave
Detroit, MI 48219-3219
Phone: (313) 533-0500
Fax: (313) 533-0501
Street-level locationGet directions
Mailing address
21673 Grand River Ave
Detroit, MI 48219-3219
Other names (DBA / former)
- Doing business as
- Pharmor Pharmacy- Grand Lahser
Registry dates
- Enumerated
- 2013-02-12
- Last updated
- 2015-07-09
Frequently asked questions
- What is Grand Lahser Pharmacy LLC's NPI number?
- Grand Lahser Pharmacy LLC's National Provider Identifier (NPI) is 1508105404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Lahser Pharmacy LLC?
- Grand Lahser Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Grand Lahser Pharmacy LLC located?
- Grand Lahser Pharmacy LLC's practice location on file with NPPES is 21673 Grand River Ave, Detroit, MI 48219-3219.
- What is Grand Lahser Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Grand Lahser Pharmacy LLC is (313) 533-0500.
- Who is the authorized official for Grand Lahser Pharmacy LLC?
- The authorized official listed on Grand Lahser Pharmacy LLC's NPPES record is Mohamed Sohoubah, Member Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Lahser Pharmacy LLC's NPI active?
- Yes — Grand Lahser Pharmacy LLC's NPI (1508105404) is active in the NPPES registry as of the last update on 2015-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.