Individual
DR. SEAN P PHOTHIYANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
198 NE COMBS FLAT RD STE 100, PRINEVILLE, OR 97754-2563
(541) 447-4111
(541) 416-9570
Mailing address
198 NE COMBS FLAT RD STE 100, PRINEVILLE, OR 97754-2563
(541) 447-4111
(541) 416-9570
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH10851
OR
Other
Enumeration date
09/16/2009
Last updated
09/20/2021
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