Provider Demographics
NPI:1477273654
Name:PARTIN, JOSHUA DILLON (RPH)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:DILLON
Last Name:PARTIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 RED GATE DRIVE
Mailing Address - Street 2:
Mailing Address - City:WOODBINE
Mailing Address - State:KY
Mailing Address - Zip Code:40771
Mailing Address - Country:US
Mailing Address - Phone:606-304-3378
Mailing Address - Fax:
Practice Address - Street 1:1019 CUMBERLAND FALLS HWY
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-2735
Practice Address - Country:US
Practice Address - Phone:606-526-0755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0221171835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist