340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MARBLE WORKS PHARMACY
CAH471307-00 Porter Hospital
Print
Covered Entity Details
Entity Name
Porter Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH471307-00
Entity Address
115 PORTER DRIVE
MIDDLEBURY, VT 05753
Medicare Provider Number
471307
Participating Start Date
9/27/2010
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
MARBLE WORKS PHARMACY
Pharmacy Address
PHARMACY HEALTH SERVICES
99 MAPLE STREET
MIDDLEBURY, VT 05753
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
2/1/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/9/2017
Ownership change
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
2/1/2011
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session