Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON LOUIS ILTZ, B.PHARM., PHARM.D.
Active Sole ProprietorDR. JASON LOUIS ILTZ, B.PHARM., PHARM.D. is a Pharmacist Clinician (PhC) healthcare provider located in VALLEYFORD, Washington. NPI 1528056108 is currently active in the NPPES registry. Verify at CMS.
Pharmacist Clinician (PhC) · VALLEYFORD, WA
Registration Details
- NPI Number
- 1528056108
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 8, 2005 (20.840803144711 yrs)
- Last Updated
- Mar 26, 2010
- Licenses
-
PH00019404 (WA)PH00019404 (WA)PH00019404 (WA)PH00019404 (WA)PH00019404 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12404 S. CARTER RDVALLEYFORD, WA, 99036Browse WA providers · Browse ZIP 99036
- Phone
- 5099791926
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
- Additional Specialty
- Pharmacist Clinician (PhC)
- Additional Specialty
- Pharmacotherapy Specialist
- Additional Specialty
- Infusion Therapy Clinic
- Additional Specialty
- Pain Clinic
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.