Provider Demographics
NPI:1396349635
Name:HAMZIC, SAMIRA (PHARM D)
Entity type:Individual
Prefix:
First Name:SAMIRA
Middle Name:
Last Name:HAMZIC
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 1:8 PILGRIM HILL RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-6130
Mailing Address - Country:US
Mailing Address - Phone:508-747-1465
Mailing Address - Fax:508-747-2536
Practice Address - Street 1:8 PILGRIM HILL RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-6130
Practice Address - Country:US
Practice Address - Phone:508-747-1465
Practice Address - Fax:508-747-2536
Is Sole Proprietor?:No
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH26752183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist