Organization
PORTER HEALTH SYSTEMS, INC.
Active
Parent organization
PORTER MEDICAL CENTER, INC.
Other names
Vermont Mail Order Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PORTER MEDICAL CENTER, INC.
Authorized official
FRANK A BUONINCONTRO RPH (PHS PRESIDENT)
(802) 388-1683
Entity
Organization
Contact information
Practice address
111 MAPLE ST, MIDDLEBURY, VT 05753-1102
(802) 388-1684
(802) 388-1688
Mailing address
111 MAPLE ST, MIDDLEBURY, VT 05753-1102
(802) 388-1684
(802) 388-1688
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0004X
Compounding Pharmacy
0380003281
VT
3336M0002X
Mail Order Pharmacy
Primary
0380003281
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4703395
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/27/2006
Last updated
08/02/2007
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