Provider Demographics
NPI:1699759464
Name:JULIAN, SUZANNE M (RPH & RN)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:M
Last Name:JULIAN
Suffix:
Gender:F
Credentials:RPH & RN
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:
Other - Last Name:BISCHOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8201 S SANTA FE DR LOT 250
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-5514
Mailing Address - Country:US
Mailing Address - Phone:615-752-8913
Mailing Address - Fax:615-287-9419
Practice Address - Street 1:8201 S SANTA FE DR LOT 250
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-5514
Practice Address - Country:US
Practice Address - Phone:615-752-8913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043477183500000X
CO0023707183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0023707OtherPHARMACY LICENSE
NY043477OtherPHARMACY LICENSE