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Application for Veterinarian Authority to Dispense Drugs This application cannot be returned by fax or email. We must have an original signature and fee to process. This application is for a veterinarian
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This application cannot be a request for services that are not authorized by the regulatory body.
Individuals or entities that do not meet the specified eligibility criteria are required to file this application.
This application cannot be filled out using incorrect or outdated forms; accurate and current information must be provided.
The purpose of this application cannot be to circumvent the established legal requirements.
Information that is irrelevant to the application or not requested cannot be reported on this application.
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