Pharmacy Service (1408)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Pharmacy Service
CLASSIFICATION Technician
STATUS Inactive
DATE INACTIVATED 2018-04-02 00:00:00
VA CODE V090201
X12 CODE 184700000X
MASTER ENTRY FOR VUID YES
VUID 5253269
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:47
    STATUS:   INACTIVE