Pharmacy Service (684) PERSON CLASS (8932.1)

Name	Value
PROVIDER TYPE	Pharmacy Service
CLASSIFICATION	Technician
STATUS	Inactive
DATE INACTIVATED	2005-11-15 00:00:00
VA CODE	V090201
INDIVIDUAL/NON	INDIVIDUAL
MASTER ENTRY FOR VUID	YES
VUID	5253266
EFFECTIVE DATE/TIME	2018-04-02 15:35:50 STATUS: INACTIVE