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
Fax: (503) 416-4553
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073903563 NPPES
Oregon MEDICAID 500758246

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