Provider Demographics
NPI:1538484951
Name:MOSIER, RENEE ALICIA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:RENEE
Middle Name:ALICIA
Last Name:MOSIER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:RENEE
Other - Middle Name:A MOSIER
Other - Last Name:SAFRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM D
Mailing Address - Street 1:115 PORTER DR.
Mailing Address - Street 2:PHARMACY
Mailing Address - City:MIDDLEBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05753-8423
Mailing Address - Country:US
Mailing Address - Phone:802-388-4711
Mailing Address - Fax:802-388-4709
Practice Address - Street 1:115 PORTER DR.
Practice Address - Street 2:PHARMACY
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753-8423
Practice Address - Country:US
Practice Address - Phone:802-388-4711
Practice Address - Fax:802-388-4709
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033.0052958183500000X
VA0202208024183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist