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Dr. Jason Louis Iltz, BPHARM,PHARMD
Pain Clinic/Center in Valleyford, Washington
NPI 1528056108

Jason Louis Iltz is a Pain Clinic/Center based in Valleyford, WA and is specialized in Pain. Jason Louis Iltz practices in Valleyford, WA and has the professional credentials of BPHARM,PHARMD. The NPI Number for Jason Louis Iltz is 1528056108 and holds a License No. PH00019404 (Washington).

The current practice location address for Jason Louis Iltz is 12404 S. Carter Rd, Valleyford, WA and can be reached out via phone at 509-979-1926. You can also correspond with Jason Louis Iltz through the mailing address at PO BOX 404, VALLEYFORD, WA - 99036-0404 (mailing address contact number: 509-979-1926).

Location: 12404 S. Carter Rd, Valleyford, WA, 99036-0404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528056108
Provider Name
Jason Louis Iltz
Credential
BPHARM,PHARMD
Provider Entity Type
Individual
Gender
Male
Address
12404 S. Carter Rd, Valleyford, WA, 99036-0404
Phone Number
509-979-1926
Fax Number
Provider Enumeration Date
10/08/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12404 S. Carter Rd
City
Valleyford
State
Washington
Zip
99036
Phone Number
509-979-1926
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 404
City
Valleyford
State
Washington
Zip
99036-0404
Phone Number
509-979-1926
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Nutrition Support
Taxonomy
1835N1003X
License No.
PH00019404 (Washington)
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.
person
Provider's Taxonomy Details 2
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
1835P0018X
License No.
PH00019404 (Washington)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacotherapy
Taxonomy
1835P1200X
License No.
PH00019404 (Washington)
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Infusion Therapy
Taxonomy
261QI0500X
License No.
PH00019404 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
261QP3300X
License No.
PH00019404 (Washington)
Definition
Definition to come...
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