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Technology / Clinical pharmacology / Medical prescription / Patient safety / Drs. Foster & Smith / Pharmacy / Fax / Pharmacist / Pharmaceutical sciences / Pharmacology / Medicine


PRESCRIPTION AUTHORIZATION FAX FORM Pharmacy Fax # [removed]for veterinary use only)
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Document Date: 2012-06-27 17:24:25

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File Size: 206,50 KB

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City

Rhinelander / /

Facility

Smith Pharmacy / Clinic Name / /

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Person

Step / /

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Position

veterinarian for authorization / ATTENTION VETERINARIAN / veterinarian for further processing / veterinarian / US-licensed veterinarian / /

ProvinceOrState

Wisconsin / /

Technology

PDF / /

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