| ID |
VA97897 |
| NAME |
VITAS HOSPICE OF SAN ANTONIO |
| NAME - SHORT |
45931 |
| REGION |
TX |
| DATE/TIME CREATED |
2004-02-13 20:46:56 |
| PHARMACY BENEFITS MANAGER NAME |
NONE |
| BANKING IDENTIFICATION NUMBER |
003585 |
| PROCESSOR CONTROL NUMBER (PCN) |
45931 |
| NCPDP PROCESSOR NAME |
MEDIMPACT |
| ENABLED? |
Yes |
| BILLING PAYER SHEET NAME |
MDMPCTB1 |
| REVERSAL PAYER SHEET NAME |
MDMPCTB2 |
| 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 10:19:59
- DEACTIVATED?: No
- DATE/TIME CREATED: 2004-02-15 10:19:59
|
