Provider Demographics
NPI:1801355615
Name:BRUJIC, SONIA ANN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:SONIA
Middle Name:ANN
Last Name:BRUJIC
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1409 KENSINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-2188
Mailing Address - Country:US
Mailing Address - Phone:419-308-3253
Mailing Address - Fax:
Practice Address - Street 1:970 W WOOSTER ST RM 121
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-2651
Practice Address - Country:US
Practice Address - Phone:419-352-6423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03227879183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist