| Name | Value |
|---|---|
| PROVIDER TYPE | Pharmacy Service Providers |
| CLASSIFICATION | Pharmacist |
| DEFINITION | A licensed pharmacist who has demonstrated specialized knowledge and skill in the care for patients at the bedside in emergency medicine settings. |
| AREA OF SPECIALIZATION | Emergency Medicine |
| STATUS | Active |
| VA CODE | V090115 |
| X12 CODE | 1835E0208X |
| SPECIALTY CODE | A5 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5344883 |
| EFFECTIVE DATE/TIME |
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