| Name | Value |
|---|---|
| PROVIDER TYPE | Pharmacy Service Providers |
| CLASSIFICATION | Pharmacist |
| DEFINITION | A licensed pharmacist who has demonstrated specialized knowledge and skill to ensure that sterile preparations meet the clinical needs of patients, satisfying quality, safety, and environmental control requirements, regulations, and standards in all phases of preparation, storage, transportation, and administration. |
| AREA OF SPECIALIZATION | Compounded Sterile Preparations |
| STATUS | Active |
| VA CODE | V090114 |
| X12 CODE | 1835C0207X |
| SPECIALTY CODE | A5 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5344880 |
| EFFECTIVE DATE/TIME |
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