Provider Demographics
NPI:1518244839
Name:DIRENZO, JOSEPH ROCCO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ROCCO
Last Name:DIRENZO
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 1:3103 ALBINE DR
Mailing Address - Street 2:
Mailing Address - City:GLENSHAW
Mailing Address - State:PA
Mailing Address - Zip Code:15116-1148
Mailing Address - Country:US
Mailing Address - Phone:412-486-3143
Mailing Address - Fax:
Practice Address - Street 1:3103 ALBINE DR
Practice Address - Street 2:
Practice Address - City:GLENSHAW
Practice Address - State:PA
Practice Address - Zip Code:15116-1148
Practice Address - Country:US
Practice Address - Phone:412-486-3143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441015183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist