Individual
DR. SANDRA T BOLLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, CGP, CDE
Contact information
Practice address
808 E WAKEFIELD AVE, SIKESTON, MO 63801-5147
(573) 471-1930
(573) 471-4591
Mailing address
808 E WAKEFIELD AVE, SIKESTON, MO 63801-5147
(573) 471-1930
(573) 471-4591
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041666
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358346401
—
MO
Enumeration date
09/21/2005
Last updated
03/18/2009
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