Provider Demographics
NPI:1588497218
Name:PARTRIDGE, JOSIE CLARE (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:JOSIE
Middle Name:CLARE
Last Name:PARTRIDGE
Suffix:
Gender:
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:IA
Mailing Address - Zip Code:51566-1027
Mailing Address - Country:US
Mailing Address - Phone:712-623-3370
Mailing Address - Fax:
Practice Address - Street 1:1605 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:RED OAK
Practice Address - State:IA
Practice Address - Zip Code:51566-1027
Practice Address - Country:US
Practice Address - Phone:712-623-3370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH61563496183500000X
IA25134183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist