Provider Demographics
NPI:1376651471
Name:DESANZO, BETH ERIN (PHARMD)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:ERIN
Last Name:DESANZO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10425 MEINERT RD
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9545
Mailing Address - Country:US
Mailing Address - Phone:412-952-2036
Mailing Address - Fax:
Practice Address - Street 1:VA PITTSBURGH HEALTHCARE
Practice Address - Street 2:130 P-U PRIMARY CARE
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15240
Practice Address - Country:US
Practice Address - Phone:412-360-3484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PWRP4377441835P1200X
PARP4377441835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy