Pharmacy Service Providers (1581)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Pharmacy Service Providers
CLASSIFICATION Resident, Pharmacist
STATUS Active
VA CODE V090302
X12 CODE 390200000X
INDIVIDUAL/NON INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5325904
EFFECTIVE DATE/TIME
  • 2018-12-13 09:56:33
    STATUS:   ACTIVE