Pharmacy Service (1309)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Pharmacy Service
CLASSIFICATION Technician
AREA OF SPECIALIZATION Pharmacy
STATUS Inactive
DATE INACTIVATED 2018-04-02 00:00:00
VA CODE V090200
X12 CODE 1847P3400N
MASTER ENTRY FOR VUID YES
VUID 5253272
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:38
    STATUS:   INACTIVE