Panthapattu, Jovin V
Panthapattu, Jovin V is an individual health care provider with primary practice located at 178 Sw 2Nd Ave , Canby OR 97013-4152. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Ambulatory Care, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Ambulatory Care is his primary health care specialty. Panthapattu, Jovin V can be contacted via phone (503) 416-4547.Contact Information
Primary practice address
178 Sw 2Nd Ave
Canby OR 97013-4152
Phone: (503) 416-4547
Fax: (503) 416-4553
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Ambulatory Care | 1835P2201X | RPH-0016544 | Oregon |
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0016544-P | Oregon |
Profile Details
NPI number | 1073903563 |
---|---|
LBN Legal business name | Panthapattu, Jovin V |
Credentials | PHARM.D. BCACP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 4th, 2015 |
Last updated | Apr 16th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073903563 | NPPES |
Oregon | MEDICAID | 500758246 |
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