| Name | Value |
|---|---|
| PROVIDER TYPE | Pharmacy Service Providers |
| CLASSIFICATION | Pharmacist |
| DEFINITION | A licensed pharmacist who has demonstrated specialized knowledge and skill delivering direct patient care and the safe and effective use of medications for patients in all phases of solid organ transplantation. |
| AREA OF SPECIALIZATION | Solid Organ Transplant |
| STATUS | Active |
| VA CODE | V090117 |
| X12 CODE | 1835S0206X |
| SPECIALTY CODE | A5 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5344889 |
| EFFECTIVE DATE/TIME |
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