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Claims submitted on this form will only be paid to a pharmacy. Fax: (863) 393-0079 Phone: (888) 886-5822 Fax or Mail Welding Rx ATTN: Manual Claims Department PO Box 90369 Lakeland, FL 33804 INSTRUCTIONS:
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What is 888 886 5822?
888 886 5822 is a form used for reporting information related to specific transactions.
Who is required to file 888 886 5822?
Individuals or entities who are involved in the transactions specified in the form are required to file 888 886 5822.
How to fill out 888 886 5822?
888 886 5822 must be filled out with the relevant information about the transactions, following the instructions provided on the form.
What is the purpose of 888 886 5822?
The purpose of 888 886 5822 is to report information on specific transactions to the relevant authorities.
What information must be reported on 888 886 5822?
The form requires reporting information such as the type of transaction, the amount involved, and the parties involved in the transaction.
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