Provider Demographics
NPI:1851054100
Name:RUPERT, BETH ANN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:ANN
Last Name:RUPERT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 BEN AVON HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-1202
Mailing Address - Country:US
Mailing Address - Phone:412-364-2671
Mailing Address - Fax:412-364-3883
Practice Address - Street 1:132 BEN AVON HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-1202
Practice Address - Country:US
Practice Address - Phone:412-364-2671
Practice Address - Fax:412-364-3883
Is Sole Proprietor?:No
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP037615L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist