Healthcare Provider Details

I. General information

NPI: 1669390720
Provider Name (Legal Business Name): ROSEANNE THERESA SOBEL RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

294 MAIN ST
WEST RUTLAND VT
05777-9624
US

IV. Provider business mailing address

561 CENTERVILLE RD
EAST WALLINGFORD VT
05742-9618
US

V. Phone/Fax

Practice location:
  • Phone: 802-438-6186
  • Fax:
Mailing address:
  • Phone: 802-438-6186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number033.0003136
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: