Provider Demographics
NPI:1952787145
Name:LUZIC, AMINA (PHARMD, RPH)
Entity Type:Individual
Prefix:MRS
First Name:AMINA
Middle Name:
Last Name:LUZIC
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:MISS
Other - First Name:AMINA
Other - Middle Name:
Other - Last Name:SABANOVIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1157 HAMMOND AVE
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-3224
Mailing Address - Country:US
Mailing Address - Phone:315-941-3291
Mailing Address - Fax:
Practice Address - Street 1:46 KELLOGG RD
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-2850
Practice Address - Country:US
Practice Address - Phone:315-735-1252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY060918183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist