VA100461 (4973)    PLAN (366.03)

Name Value
ID VA100461
NAME PHARMACY SERVICES GROUP
NAME - SHORT PHARSRVG
REGION FL
DATE/TIME CREATED 2004-02-14 13:55:52
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 005757
PROCESSOR CONTROL NUMBER (PCN) HDN
NCPDP PROCESSOR NAME LAKER
ENABLED? Yes
BILLING PAYER SHEET NAME LAKPSGB1
REVERSAL PAYER SHEET NAME LAKPSGB2
REBILL PAYER SHEET NAME LAKPSGB3
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:   2004-02-14 20:31:29
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 20:31:29