Healthcare Provider Details

I. General information

NPI: 1518871466
Provider Name (Legal Business Name): MATTHEW D. SOWERS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 FISHER RD MOB-B SUITE 2-3
BERLIN VT
05602-9516
US

IV. Provider business mailing address

130 FISHER RD MOB-B SUITE 2-3
BERLIN VT
05602
US

V. Phone/Fax

Practice location:
  • Phone: 802-225-1750
  • Fax: 802-225-1733
Mailing address:
  • Phone: 802-225-1750
  • Fax: 802-225-1733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number033.0134759
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: