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Invoice / Buprenorphine / Methadone / Pharmacist / Accounts payable / Pharmacy / Pharmacotherapy / Chemistry / Drug rehabilitation / Organic chemistry


Pharmacotherapy Dispensing Subsidy Program Claim Form
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Document Date: 2015-01-14 23:32:32

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File Size: 51,00 KB

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Company

Patient Details BANK / /

Currency

USD / /

Facility

Pharmacy Reference Number / Referring Prison / /

/

MedicalTreatment

Pharmacotherapy / /

Organization

DOJ / /

Position

Pharmacist / Governor / signature Pharmacist / /

Product

subutex / suboxone / /

URL

www.abr.business.gov.au_ / /

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