Jason Louis Iltz, B.PHARM., PHARM.D. Valid NPI

Individual provider · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Valleyford, WA

NPI

1528056108

Type

Individual (Type 1)

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Pharmacist)

Specialty group

Pharmacy Service Providers

Taxonomy code

1835P0018X

License number

PH00019404 (WA)

Sex

Male

Sole proprietor

Yes

Enumerated

2005-10-08

Last updated

2010-03-26