Individual provider · Type 1 NPI
Jason Louis Iltz, B.PHARM., PharmD
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Valleyford, WA
Practice location
12404 S. Carter Rd
Valleyford, WA 99036
Mailing address
PO Box 404
Valleyford, WA 99036-0404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Support Pharmacist | 1835N1003X | PH00019404 (WA) |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary | 1835P0018X | PH00019404 (WA) |
| Pharmacotherapy Pharmacist | 1835P1200X | PH00019404 (WA) |
| Infusion Therapy Clinic/Center | 261QI0500X | PH00019404 (WA) |
| Pain Clinic/Center | 261QP3300X | PH00019404 (WA) |
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
About NPI 1528056108
Jason Louis Iltz, B.PHARM., PharmD's National Provider Identifier is 1528056108, issued on Oct 8, 2005. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Valleyford, WA. The record was last updated on Mar 26, 2010.