VA102097 (2099)    PLAN (366.03)

Name Value
ID VA102097
NAME BOSKOVICH FARMS
NAME - SHORT BOSKOVCH
REGION ALL
DATE/TIME CREATED 2004-02-13 23:02:49
PHARMACY BENEFITS MANAGER NAME PROF PHAR BEN SERVS
BANKING IDENTIFICATION NUMBER 400015
PROCESSOR CONTROL NUMBER (PCN) PPBS HDN
NCPDP PROCESSOR NAME NDC
ENABLED? Yes
MAXIMUM NCPDP TRANSACTIONS 4
APPLICATION
  • E-PHARM
    NATIONAL ACTIVE?:   Active
    LOCAL ACTIVE?:   Not Active
    USER EDITED LOCAL:   INTERFACE,IB EIV
    DATE/TIME LOCAL EDITED:   2006-05-25 15:17:30
    DATE/TIME NATIONAL EDITED:   2004-02-15 11:48:37
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 11:48:37