Iltz, Jason Louis
Iltz, Jason Louis is an sole proprietor health care provider with primary practice located at 12404 S. Carter Rd , Valleyford WA 99036. He recently has 5 registered licenses in different health care specialties including Pharmacy Service Providers / Nutrition Support, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacotherapy, Ambulatory Health Care Facilities / Infusion Therapy, Ambulatory Health Care Facilities / Pain. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is his primary health care specialty. Iltz, Jason Louis can be contacted via phone (509) 979-1926.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Nutrition Support | 1835N1003X | PH00019404 | Washington |
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH00019404 | Washington |
Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | PH00019404 | Washington |
Ambulatory Health Care Facilities / Infusion Therapy | 261QI0500X | PH00019404 | Washington |
Ambulatory Health Care Facilities / Pain | 261QP3300X | PH00019404 | Washington |
Profile Details
NPI number | 1528056108 |
---|---|
LBN Legal business name | Iltz, Jason Louis |
Credentials | B.PHARM., PHARM.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 8th, 2005 |
Last updated | Mar 26th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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