Gibraltar Sav-Mor Pharmacy #16

LBN: Gibraltar Pharmacy Inc
Gibraltar Sav-Mor Pharmacy #16 is an health care organization with primary practice located at 29255 W Jefferson Ave , Gibraltar MI 48173-9738. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Gibraltar Pharmacy Inc can be contacted via phone (734) 675-0000, or through Booker, Douglas via phone (734) 675-0000.

Contact Information

Primary practice address
29255 W Jefferson Ave Gibraltar MI 48173-9738
Phone: (734) 675-0000
Fax: (734) 675-0066
Website:
Map and Directions
Authorized official contact:
Name: Booker, Douglas RPH
Phone: (734) 675-0000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301007472 Michigan
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1609984079
LBN Legal business name Gibraltar Pharmacy Inc
DBA Doing business as Gibraltar Sav-Mor Pharmacy #16
Authorized official Booker, Douglas RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2006
Last updated Jul 19th, 2018 - about 8 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 1609984079 NPPES
Other 2045990 PK
MEDICAID 2363137 PK

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