Individual
DOUGLAS BOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
29255 W JEFFERSON AVE, GIBRALTAR, MI 48173-9738
(734) 675-0000
Mailing address
21893 AZALEA CIR, GROSSE ILE, MI 48138-1480
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302022106
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302022106
PHARMACIST LICENSE NUMBER
MI
Enumeration date
10/11/2006
Last updated
07/08/2007
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