Healthcare Provider Details

I. General information

NPI: 1083527618
Provider Name (Legal Business Name): BETTY SUE RICH RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12620 PERRY HWY
WEXFORD PA
15090-8662
US

IV. Provider business mailing address

909 RED OAK DR
PITTSBURGH PA
15238-1310
US

V. Phone/Fax

Practice location:
  • Phone: 724-933-4320
  • Fax:
Mailing address:
  • Phone: 412-913-1840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP039223L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: