Healthcare Provider Details

I. General information

NPI: 1235059056
Provider Name (Legal Business Name): ZACHARY KILIAN SCHOLL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13123 E 16TH AVE
AURORA CO
80045-7106
US

IV. Provider business mailing address

815 E 4TH AVE
DENVER CO
80218-3772
US

V. Phone/Fax

Practice location:
  • Phone: 720-777-0609
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHA18995
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: