Healthcare Provider Details

I. General information

NPI: 1720072572
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

1450 W CHICAGO BLVD
TECUMSEH MI
49286-8727
US

IV. Provider business mailing address

565 E MICHIGAN AVE
SALINE MI
48176-1588
US

V. Phone/Fax

Practice location:
  • Phone: 517-424-1212
  • Fax: 517-424-1213
Mailing address:
  • Phone: 734-214-8321
  • Fax: 734-944-4334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number5301007830
License Number StateMI

VIII. Authorized Official

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