Provider Demographics
NPI:1184785909
Name:ROSHAN INC
Entity type:Organization
Organization Name:ROSHAN INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMINA
Authorized Official - Middle Name:ABDULRASUL
Authorized Official - Last Name:DAMJI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:908-782-7576
Mailing Address - Street 1:8 READING RD
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-2081
Mailing Address - Country:US
Mailing Address - Phone:908-782-7576
Mailing Address - Fax:908-782-5818
Practice Address - Street 1:8 READING RD
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-2081
Practice Address - Country:US
Practice Address - Phone:908-782-7576
Practice Address - Fax:908-782-5818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4985605Medicaid
NJ3879390001Medicare NSC