Individual provider · Type 1 NPI

Sophanaroth Penh

Pharmacist · Williston, VT

NPI number 1467319202 Active

Practice location

71 Boxwood St
Williston, VT 05495-8211

Call (802) 878-9056 Map

Mailing address

282 Sprague St
Fall River, MA 02724-2762

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPH1002621 (MA)
Pharmacist 183500000X033.0135925 (VT)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1467319202

Sophanaroth Penh's National Provider Identifier is 1467319202, issued on Jan 5, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Williston, VT. The record was last updated on Aug 31, 2026.