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FOR OFFICE USE ONLY KANSAS STATE BOARD OF PHARMACY 800 SW JACKSON ROOM 1414 TOPEKA KS 66612 785 296-4056 FAX 785 296-8420 REG NUMBER DATE Utilization of Unused Medications Unused Medications Manifest MAIL SERVICE PHARMACY MEDICAL CARE FACILITY DECLARATIONS PAGE I certify that the medications listed on the attached manifest meet the following requirements of KAR 68-18-1 1. All of the patient or resident personal identifiers have been removed redacted 8. Qualifying center or clinic named on the...
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