| Name: | Pharmacy Service Providers File Submission |
|---|---|
| State: | Maine |
| Definition: | Not Provided |
| Version | 2010-03-16 |
| Data Element ID | Data Element | Description | Type | Format | Length |
|---|---|---|---|---|---|
 PCSP901 |
Payer | Payer | varchar | 6 | |
| PCSP902 |
Data Processing Center Code | Data Processing Center Code | integer | ||
| PCSP903 |
Pharmacy Number | Pharmacy Number | varchar | 30 | |
| PCSP904 |
Pharmacy Tax ID Number | Pharmacy Tax ID Number | varchar | 10 | |
| PCSP905 |
Pharmacy Name | Pharmacy Name | varchar | 100 | |
| PCSP906 |
National Pharmacy ID Number | National Pharmacy ID Number | varchar | 20 | |
| PCSP907 |
Pharmacy Location City | Pharmacy Location City | varchar | 30 | |
| PCSP908 |
Pharmacy Location State | Pharmacy Location State | varchar | 2 | |
| PCSP909 |
Pharmacy ZIP Code | Pharmacy ZIP Code | varchar | 11 | |
| PCSP910 |
Key to Pharmacy Claims | Key to Pharmacy Claims | integer | ||
| PCSP911 | Pharmacy Country Name | Pharmacy Country Name | varchar | 30 |
| Data Element ID | Data Element | Code | Value |
|---|
Agency for Healthcare Research and Quality • 5600 Fishers Lane, Rockville, MD 20857 • Telephone: (301) 427-1364
