Community Pharmacy Permit Application {17A-4} | Pdf Fpdf Docx | California

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Community Pharmacy Permit Application {17A-4} | Pdf Fpdf Docx | California

Last updated: 2/18/2020

Community Pharmacy Permit Application {17A-4}

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Description

17A-4, COMMUNITY PHARMACY LICENSE APPLICATION, Complete the entire application and submit with original signatures. If an item or question is not applicable, indicate N/A. • Doing Business As (DBA): If using a DBA, submit a completed Fictitious Business Name Statement that has been certified by the Office of the County Clerk in the county in which it was filed. www.FormsWorkflow.com

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