Organization
BUSCHS INC
Active
Other names
Busch's Pharmacy 1201
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY ROSE HEIRES CPHT (PHARMACY ADMINISTRATOR)
(734) 214-8321
Entity
Organization
Contact information
Practice address
22385 PONTIAC TRAIL, SOUTH LYON, MI 48178
(248) 446-8934
(248) 446-8948
Mailing address
565 EAST MICHIGAN AVE, SALINE, MI 48176
(734) 214-8321
(734) 214-8322
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3931840007
—
333600000X
Pharmacy
Primary
5301008662
MI
333600000X
Pharmacy
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2370093
NCPDP
MI
01
—
5301008662
MI LICENSE
MI
Enumeration date
06/28/2007
Last updated
03/07/2023
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