Dr Jason Louis Iltz, BPHARM, PHARMD is a
Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist based in Valleyford, Washington. Dr Jason Louis Iltz is licensed to practice in Washington (license number PH00019404) and his current practice location is
12404 S. Carter Rd, Valleyford, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 979-1926.
NPI number for Dr Jason Louis Iltz is 1528056108 and his current mailing address is Po Box 404, Valleyford, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528056108.
Healthcare Provider's Profile
| Full Name | Dr Jason Louis Iltz |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist |
|---|
| Location | 12404 S. Carter Rd, Valleyford, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1528056108
- Provider Enumeration Date: 10/08/2005
- Last Update Date: 03/26/2010
Medical Identifiers
Medical identifiers for Dr Jason Louis Iltz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528056108 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1835N1003X | Pharmacist - Nutrition Support | PH00019404 (Washington) | Secondary |
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | PH00019404 (Washington) | Primary |
| 1835P1200X | Pharmacist - Pharmacotherapy | PH00019404 (Washington) | Secondary |
| 261QI0500X | Clinic/center - Infusion Therapy | PH00019404 (Washington) | Secondary |
| 261QP3300X | Clinic/center - Pain | PH00019404 (Washington) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jason Louis Iltz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jason Louis Iltz, BPHARM, PHARMD
Po Box 404,
Valleyford, WA 99036-0404
Ph: (509) 979-1926 | Dr Jason Louis Iltz, BPHARM, PHARMD
12404 S. Carter Rd,
Valleyford, WA 99036
Ph: (509) 979-1926 |
Reviews and Comments