| Name | Value |
|---|---|
| PROVIDER TYPE | Pharmacy Service Providers |
| CLASSIFICATION | Pharmacist |
| DEFINITION | A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| AREA OF SPECIALIZATION | Oncology |
| STATUS | Active |
| VA CODE | V090108 |
| X12 CODE | 1835X0200X |
| SPECIALTY CODE | 87 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5253311 |
| EFFECTIVE DATE/TIME |
|