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All items in bold type are mandatory. If not filled in, case cannot be processed. DATE RECEIVED #: PAN #: DR. S SIGNATURE: OPEN INITIALS: DR. S LICENSE NUMBER: PREARRANGED: 2727 Skyway Drive, Santa
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804168400 sos rx formindd is a form used for reporting prescription drug transactions to the State of Oregon.
Pharmacies, wholesalers, and manufacturers are required to file 804168400 sos rx formindd.
804168400 sos rx formindd can be filled out online through the State of Oregon's reporting portal.
The purpose of 804168400 sos rx formindd is to track prescription drug transactions and ensure compliance with state regulations.
Information such as drug names, quantities, transaction dates, and parties involved must be reported on 804168400 sos rx formindd.
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