Provider Demographics
NPI:1609096007
Name:BOLLMEIER, SUZANNE GIELOW (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:GIELOW
Last Name:BOLLMEIER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 EDEN PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:SHILOH
Mailing Address - State:IL
Mailing Address - Zip Code:62269-2987
Mailing Address - Country:US
Mailing Address - Phone:314-446-8524
Mailing Address - Fax:314-446-8500
Practice Address - Street 1:4588 PARKVIEW PL
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1029
Practice Address - Country:US
Practice Address - Phone:314-446-8525
Practice Address - Fax:314-446-8500
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20001459791835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy