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

Primary practice address
12404 S. Carter Rd Valleyford WA 99036
Phone: (509) 979-1926
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 16 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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