Pharmacy Service (245) PERSON CLASS (8932.1)
Name
Value
PROVIDER TYPE
Pharmacy Service
STATUS
Inactive
DATE INACTIVATED
1998-10-20 00:00:00
VA CODE
V090000
reserved
A, Try V09----
INDIVIDUAL/NON
INDIVIDUAL
MASTER ENTRY FOR VUID
YES
VUID
5253260
EFFECTIVE DATE/TIME
2018-04-02 15:35:53
STATUS: INACTIVE