| ID | 
VA98017 | 
| NAME | 
INTERGROUP KMART | 
| NAME - SHORT | 
INTERKMT | 
| REGION | 
CA | 
| DATE/TIME CREATED | 
2004-02-13 20:57:32 | 
| PHARMACY BENEFITS MANAGER NAME | 
NONE | 
| BANKING IDENTIFICATION NUMBER | 
003585 | 
| PROCESSOR CONTROL NUMBER (PCN) | 
46002 | 
| 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 09:37:45
 
- DEACTIVATED?:    No
 
- DATE/TIME CREATED:    2004-02-15 09:37:45
 
 
 
 |