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DEPARTMENT OF HEALTH SERVICES Division of Public Health F00636 (10/12)STATE OF WISCONSIN s. 49.686, Wis. Stats.WISCONSIN AIDS DRUG ASSISTANCE PROGRAMPHARMACY PROVIDER AGREEMENT AND ACKNOWLEDGEMENT
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What is f-00636 1012?
f-00636 1012 is a specific form used for reporting financial information.
Who is required to file f-00636 1012?
Entities or individuals with certain financial transactions are required to file f-00636 1012.
How to fill out f-00636 1012?
f-00636 1012 must be filled out with accurate financial information as per the instructions provided on the form.
What is the purpose of f-00636 1012?
The purpose of f-00636 1012 is to document and report financial transactions.
What information must be reported on f-00636 1012?
f-00636 1012 requires reporting of specific financial details as outlined on the form.
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