Provider Demographics
NPI:1720072572
Name:BUSCHS INC
Entity Type:Organization
Organization Name:BUSCHS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY SALES
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHELLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROUSH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:734-214-8321
Mailing Address - Street 1:565 E MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-1588
Mailing Address - Country:US
Mailing Address - Phone:734-214-8321
Mailing Address - Fax:734-944-4334
Practice Address - Street 1:1450 W CHICAGO BLVD
Practice Address - Street 2:
Practice Address - City:TECUMSEH
Practice Address - State:MI
Practice Address - Zip Code:49286-8727
Practice Address - Country:US
Practice Address - Phone:517-424-1212
Practice Address - Fax:517-424-1213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-08
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5301007830333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5301007830OtherBOARD OF PHARMACY
2365612OtherNCPDP/NABP#
2365612OtherNCPDP/NABP#