| Name | Value |
|---|---|
| PROVIDER TYPE | Pharmacy Service Providers |
| CLASSIFICATION | Pharmacist |
| DEFINITION | A licensed pharmacist who has demonstrated specialized knowledge and skill in direct patient care to ensure safe and effective use of medications in patients with cardiovascular disease, as members of interprofessional health care teams. |
| AREA OF SPECIALIZATION | Cardiology |
| STATUS | Active |
| VA CODE | V090113 |
| X12 CODE | 1835C0206X |
| SPECIALTY CODE | A5 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5344877 |
| EFFECTIVE DATE/TIME |
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