Healthcare Provider Details

I. General information

NPI: 1336073014
Provider Name (Legal Business Name): SOFIJA ROSICH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 NJ-37
TOMS RIVER NJ
08755
US

IV. Provider business mailing address

950 NJ-37
TOMS RIVER NJ
08755
US

V. Phone/Fax

Practice location:
  • Phone: 732-349-6464
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04487400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: