Provider Demographics
NPI:1194081695
Name:BARTLETT, JOSHUA C (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:C
Last Name:BARTLETT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 EDGEWOOD RD SW
Mailing Address - Street 2:T-1771
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52404-7214
Mailing Address - Country:US
Mailing Address - Phone:319-396-4777
Mailing Address - Fax:
Practice Address - Street 1:3400 EDGEWOOD RD SW
Practice Address - Street 2:T-1771
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52404-7214
Practice Address - Country:US
Practice Address - Phone:319-396-4777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20855183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist