Organization
GIBRALTAR PHARMACY INC
Active
Other names
GIBRALTAR SAV-MOR PHARMACY #16
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS BOOKER RPH (PHARMACIST/MGR)
(734) 675-0000
Entity
Organization
Contact information
Practice address
29255 W JEFFERSON AVE, GIBRALTAR, MI 48173-9738
(734) 675-0000
(734) 675-0066
Mailing address
25625 SOUTHFIELD RD STE 206, SOUTHFIELD, MI 48075-1854
(248) 348-1570
(248) 348-4316
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301007472
MI
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2045990
PK
—
05
—
2363137
—
MI
Enumeration date
08/27/2006
Last updated
09/19/2025
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