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JEFFREY L. DONKEY, D.D.S., M.D. ABRAHAM ESTERS, D.D.S.SAUNA LOUISA, D.D.S.ORAL and MAXiLLOFACiAL SURGERYPharmacy Form Please list the name, phone number, and address of the pharmacy that you would
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The PDF pharmacy form is a standardized document used by pharmacies to report specific information related to prescription drug dispensing and inventory management.
Pharmacies that dispense controlled substances and certain prescription medications are required to file the PDF pharmacy form with regulatory authorities.
To fill out the PDF pharmacy form, one must provide the necessary pharmacy details, prescription information, and any relevant inventory data, ensuring all fields are accurately completed and legible.
The purpose of the PDF pharmacy form is to maintain accurate records of drug dispensing, monitor compliance with regulations, and help prevent misuse or diversion of controlled substances.
The information that must be reported includes the pharmacy's DEA number, patient details, prescription numbers, drug names, quantities dispensed, and any fills or refills.
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