# DR. JOVIN V PANTHAPATTU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1073903563
- **Gender:** Man
- **Credential:** PHARM.D. BCACP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | RPH-0016544-P | OR | — |
| 1835P2201X | Ambulatory Care Pharmacist | RPH-0016544 | OR | Yes |

## Other

- **Enumeration date:** 02/04/2015
- **Last updated:** 04/16/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 500758246 | — | OR |