MEDICARE: BUSCHS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	5301007830	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5301007830	OTHER	MI	BOARD OF PHARMACY
2	2365612	OTHER		NCPDP/NABP#

General Provider Information

NPI Number	:	1720072572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUSCHS INC

Provider Business Mailing Address
First Line	:	565 E MICHIGAN AVE
Second Line	:
City	:	SALINE
State	:	MI
Zip	:	48176-1588
Country	:	US
Telephone Number	:	734-214-8321
Fax Number	:	734-944-4334

Provider Business Practice Location Address
First Line	:	1450 W CHICAGO BLVD
Second Line	:
City	:	TECUMSEH
State	:	MI
Zip	:	49286-8727
Country	:	US
Telephone Number	:	517-424-1212
Fax Number	:	517-424-1213

Authorized Official
Title or Position	:	DIRECTOR OF PHARMACY SALES
Name	:	MRS. RACHELLE L ROUSH
Credential	:	RPH
Telephone Number	:	734-214-8321

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	01/13/2009

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Directions to “BUSCHS INC ” Practice Location

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