Gibraltar Pharmacy Inc
Community/Retail Pharmacy
29255 W Jefferson Ave, Gibraltar
Michigan, 48173-9738
734-675-0000 734-675-0066
Gibraltar Pharmacy Inc is a Community/Retail Pharmacy in Gibraltar, Michigan. It is located at 29255 W Jefferson Ave, Gibraltar and it's customer support contact number is 734-675-0000. The authorized person of Gibraltar Pharmacy Inc is Douglas Booker, RPH who is Pharmacist/mgr of the pharmacy and his contact number is 734-675-0000. Active license number of Gibraltar Pharmacy Inc is 5301007472 for Community/Retail Pharmacy in Michigan. Gibraltar Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Gibraltar Pharmacy Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Gibraltar Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Gibraltar Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 29255 W Jefferson Ave, Gibraltar,
Michigan, 48173-9738 |
| Phone: | 734-675-0000 |
| Fax: | 734-675-0066 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Douglas Booker |
| Credentials: | RPH |
| Position: | Pharmacist/mgr |
| Contact Number: | 734-675-0000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1609984079 |
| NPI Enumeration Date: | 27 Aug, 2006 |
| NPI Last Update On: | 19 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gibraltar Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 5301007472 | Michigan | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
| Compounding Pharmacy | | | Secondary | |
| Long Term Care Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2045990 | Other | | Pk |
| 2363137 | Medicaid | Michigan | |
Medicare Enrollment:
Gibraltar Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9830303320 | O20100930045433 | Gibraltar Pharmacy Inc | DME SUPPLIER - PHARMACY |
| 9830303320 | O20140219000518 | Gibraltar Pharmacy Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Gibraltar Pharmacy Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Enteral Nutrients |
| • Heat & Cold Applications | • Nebulizer Equipment & Supplies |
| • Surgical Dressings | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 25625 Southfield Rd Ste 206,
Southfield, Michigan |
| Zip: | 48075-1854 |
| Phone Number: | 248-348-1570 |
| Fax Number: | 248-348-4316 |
Patients can reach Gibraltar Pharmacy Inc at
29255 W Jefferson Ave, Gibraltar, Michigan or can
call on customer care at 734-675-0000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.