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Individual
DR. JASON LOUIS ILTZ
Active
Individual
DR. JASON LOUIS ILTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.PHARM., PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
PH00019404
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH00019404
WA
1835P1200X
Pharmacotherapy Pharmacist
PH00019404
WA
261QI0500X
Infusion Therapy Clinic/Center
PH00019404
WA
261QP3300X
Pain Clinic/Center
PH00019404
WA
Other
Enumeration date
10/08/2005
Last updated
03/26/2010
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