Provider Demographics
NPI:1982582193
Name:ZAHLLER, COLIN TOBIAS (RPH)
Entity type:Individual
Prefix:
First Name:COLIN
Middle Name:TOBIAS
Last Name:ZAHLLER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 E NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-3420
Mailing Address - Country:US
Mailing Address - Phone:509-793-4005
Mailing Address - Fax:509-793-4005
Practice Address - Street 1:933 E MISSION AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1908
Practice Address - Country:US
Practice Address - Phone:509-482-1987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH61483299183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist