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Oregon Board of Pharmacy 800 NE Oregon Street Suite 150 Portland OR 97232 Phone 971 / 673-0001 Fax 971 / 673-0002 E-mail pharmacy. board state. or. us Web www. pharmacy. state. or. us CHANGE OF PHARMACIST-IN-CHARGE Both the incoming and outgoing PIC must report the change to the Board within 15 days.
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How to fill out pharmacy form:
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Start by providing your personal information such as your name, address, telephone number, and date of birth.
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Next, enter your insurance information including the name of your insurance provider, policy number, and group number if applicable.
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Who needs pharmacy form:
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Patients who are filling a prescription medication from a pharmacy.
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What is pharmacy form?
Pharmacy form is a document that must be filled out to report information related to pharmacy activities.
Who is required to file pharmacy form?
Pharmacy form must be filed by all pharmacies or individuals engaged in pharmacy activities.
How to fill out pharmacy form?
Pharmacy form can be filled out by providing the required information in the designated fields of the form.
What is the purpose of pharmacy form?
The purpose of pharmacy form is to gather data and ensure compliance with regulations related to pharmacy activities.
What information must be reported on pharmacy form?
Pharmacy form requires reporting of relevant information such as pharmacy name, address, activities, revenues, and any other specified details.
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