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Get the free 20120918 Change of Pharmacy Status Form v3.3.indd - Qcpp.com

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The Pharmacy Guild of Australia ABN: 84 519 669 143 QC PP CHANGE OF PHARMACY STATUS PO Box 7036 Canberra BC ACT 2610 T 1300 363 340 F 02 6270 1885 Reason for Change ? Transfer of Ownership ? Relocation
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How to fill out 20120918 change of pharmacy:

01
Locate the 20120918 change of pharmacy form.
02
Fill in your personal information, such as name, address, and contact details.
03
Provide the required details about your current pharmacy and the pharmacy you want to change to.
04
Indicate the reasons for changing pharmacies and any specific instructions or preferences.
05
Double-check all the information you have provided and make sure it is accurate and complete.
06
Sign and date the form.
07
Submit the filled-out form to the relevant authority or organization responsible for processing the change of pharmacy.

Who needs 20120918 change of pharmacy:

01
Individuals who are currently using a pharmacy but want to switch to a different pharmacy.
02
Patients who have relocated to a new area and need to transfer their prescriptions to a local pharmacy.
03
People who are dissatisfied with the services, availability, or costs of their current pharmacy and wish to find a better alternative.
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