# PORTER HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Porter Medical Center Long Term Care Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417390295
- **Authorized official:** RENEE MOSIER (PHARMACY DIRECTOR)
- **Authorized official phone:** (802) 388-5624

## Contact information

- **Practice address:** 115 PORTER DR, MIDDLEBURY, VT 05753-8423
- **Practice address phone:** (802) 388-8896
- **Practice address fax:** (802) 388-4709
- **Mailing address:** 115 PORTER DR, MIDDLEBURY, VT 05753-8423
- **Mailing address phone:** (802) 388-8896
- **Mailing address fax:** (802) 388-4709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 141.0093571 | VT | Yes |

## Other

- **Enumeration date:** 04/11/2013
- **Last updated:** 05/09/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2139874 | PK | — |