Provider Demographics
NPI:1861800468
Name:BRILL, ZACHARY SHAWN (PHARMD)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:SHAWN
Last Name:BRILL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10109 W DARTMOUTH PL
Mailing Address - Street 2:UNIT 2-304
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-6720
Mailing Address - Country:US
Mailing Address - Phone:970-261-6938
Mailing Address - Fax:
Practice Address - Street 1:9390 W CROSS DR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-2202
Practice Address - Country:US
Practice Address - Phone:720-922-1475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-27
Last Update Date:2014-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.0020375183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist