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WIC PHARMACY VENDOR APPLICATION Michigan Department of Health and Human Services MDHHS5942P (Rev. 421)WIC OFFICE USE ONLY North___ Central___ SE___Check one: New Reviewed by___Recommended by___COICOLOAPThis
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Visit the website origin-slmichigangovdocumentsmdhhswic.
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Locate the pharmacy vendor application form.
03
Download and open the application form.
04
Read the instructions and requirements carefully.
05
Fill in your personal details, such as name, address, and contact information.
06
Provide information about your pharmacy, including the name, license number, and location.
07
Answer all the questions on the application form accurately.
08
Attach any supporting documents as required, such as proof of pharmacy license.
09
Review the completed application form to ensure all fields are filled correctly.
10
Submit the application form through the designated method, such as online submission or by mail.
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Wait for a response from the authorities regarding the status of your application.

Who needs origin-slmichigangovdocumentsmdhhswic pharmacy vendor application?

01
Any pharmacy vendor who wants to provide services in the state of Michigan needs to fill out the origin-slmichigangovdocumentsmdhhswic pharmacy vendor application.
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The origin-slmichigangovdocumentsmdhhswic pharmacy vendor application is a form used by pharmacy vendors to apply for participation in Michigan's healthcare program.
Pharmacy vendors who wish to participate in Michigan's healthcare program are required to file the origin-slmichigangovdocumentsmdhhswic pharmacy vendor application.
The origin-slmichigangovdocumentsmdhhswic pharmacy vendor application can be filled out online on the Michigan Department of Health and Human Services website.
The purpose of the origin-slmichigangovdocumentsmdhhswic pharmacy vendor application is to gather information about pharmacy vendors who wish to participate in Michigan's healthcare program.
The origin-slmichigangovdocumentsmdhhswic pharmacy vendor application requires information such as the vendor's contact details, accreditation status, and services provided.
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