Pharmacy Service Providers (247) PERSON CLASS (8932.1)

Name	Value
PROVIDER TYPE	Pharmacy Service Providers
CLASSIFICATION	Pharmacist
AREA OF SPECIALIZATION	General Practice
STATUS	Inactive
DATE INACTIVATED	2009-04-22 00:00:00
VA CODE	V090101
X12 CODE	1835G0000X
INDIVIDUAL/NON	INDIVIDUAL
MASTER ENTRY FOR VUID	YES
VUID	5253284
EFFECTIVE DATE/TIME	2018-04-02 15:35:55 STATUS: INACTIVE