Organization
PORTER HOSPITAL, INC.
Active
Other names
Porter Medical Center Long Term Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE MOSIER (PHARMACY DIRECTOR)
(802) 388-5624
Entity
Organization
Contact information
Practice address
115 PORTER DR, MIDDLEBURY, VT 05753-8423
(802) 388-8896
(802) 388-4709
Mailing address
115 PORTER DR, MIDDLEBURY, VT 05753-8423
(802) 388-8896
(802) 388-4709
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
141.0093571
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139874
PK
—
Enumeration date
04/11/2013
Last updated
05/09/2013
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