Provider Demographics
NPI:1376740951
Name:BUSCHS INC
Entity Type:Organization
Organization Name:BUSCHS INC
Other - Org Name:BUSCH'S PHARMACY 1201
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:HEIRES
Authorized Official - Suffix:
Authorized Official - Credentials:CPHT
Authorized Official - Phone:734-214-8321
Mailing Address - Street 1:565 EAST MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176
Mailing Address - Country:US
Mailing Address - Phone:734-214-8321
Mailing Address - Fax:734-214-8322
Practice Address - Street 1:22385 PONTIAC TRAIL
Practice Address - Street 2:
Practice Address - City:SOUTH LYON
Practice Address - State:MI
Practice Address - Zip Code:48178
Practice Address - Country:US
Practice Address - Phone:248-446-8934
Practice Address - Fax:248-446-8948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3931840007332B00000X
MI5301008662333600000X
MI333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2370093OtherNCPDP
MI5301008662OtherMI LICENSE
MI5301008662OtherMI LICENSE
MI5301008662OtherMI LICENSE
MI3931840007Medicare NSC