Healthcare Provider Details

I. General information

NPI: 1760476501
Provider Name (Legal Business Name): BUSCHS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 01/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 GREEN RD
ANN ARBOR MI
48105-2553
US

IV. Provider business mailing address

2020 GREEN RD
ANN ARBOR MI
48105-2553
US

V. Phone/Fax

Practice location:
  • Phone: 734-994-7246
  • Fax: 734-994-0638
Mailing address:
  • Phone: 734-994-7246
  • Fax: 734-994-0638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number5301007282
License Number StateMI

VIII. Authorized Official

Name: MRS. RACHELLE L ROUSH
Title or Position: DIRECTOR OF PHARMACY SALES
Credential: RPH
Phone: 734-994-7246