Common use of Credentialing Policies Clause in Contracts

Credentialing Policies. (a) PHARMACY shall submit the Pharmacy Demographic Form attached as Exhibit C, and must provide: (i) an accurate and verifiable street address; (ii) accurate and verifiable telephone and facsimile numbers; (iii) hours of operation; (iv) PHARMACY email address; (v) the required licenses, permits, certificates of authority or accreditations of such pharmacies; (vi) insurance information for insurance covering PHARMACY; (vii) the National Provider Identifier (“NPI”); (viii) sales tax information where applicable, and (ix) other information as reasonably requested by SOUTHERN SCRIPTS;

Appears in 5 contracts

Samples: Network Agreement, Network Agreement, Network Agreement

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