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9960 Mayland Drive, Suite 300 Henrico, Virginia 23233 (804) 3674456 (Tel) (804) 5274472 (Fax) pharmbd@dhp.virginia.gov www.dhp.virginia.gov/pharmacyApplication for Registration as a Pharmacy Intern
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The form required non-refundable fee is a document that must be submitted alongside a monetary payment that cannot be refunded, typically used in applications or registrations.
Individuals or entities that are applying for certain services, permits, licenses, or registrations that require an accompanying fee must file this form.
To fill out the form, carefully read the instructions provided, enter the required details accurately, complete all necessary sections, sign if needed, and attach the payment.
The purpose of the form is to collect necessary information for processing requests while ensuring that the non-refundable fee is received, indicating commitment from the applicant.
The form typically requires personal information, details about the service being requested, payment information, and any other specific information pertinent to the application.
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