Organization
BUSCH'S INC
Active
Parent organization
BUSCH'S INC
Other names
Busch's Pharmacy 1199
Organization subpart
Yes
Provider details
NPI number
Legal business name
BUSCH'S INC
Authorized official
MS. TINA SCRUPSKY (VICE PRESIDENT, CHIEF FINANCIAL OFF)
(734) 214-8356
Entity
Organization
Contact information
Practice address
33300 W. 14 MILE RD., WEST BLOOMFIELD, MI 48322-3572
(248) 855-1745
(248) 855-1912
Mailing address
565 E. MICHIGAN AVENUE, SALINE, MI 48176-1588
(734) 214-8321
(734) 214-8322
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5301008881
MI
333600000X
Pharmacy
Primary
5301008881
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5301008881
PHARMACY LICENSE
MI
Enumeration date
07/02/2008
Last updated
03/07/2023
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