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Get How To Withdraw Pharmacy Licence

NT PHARMACY LICENSE 1 Fee $200 New License Renewal Change of Ownership Current SD License # 400- (Fee payable to South Dakota Board of Pharmacy - no fee required for Change of Address or Pharmacist-in-Charge) 2 PHARMACY NAME that will be on license (must be the same as DEA title): License will expire on June 30. Name Please allow ten days for processing. Address State City Zip 3 PHARMACY PHONE ( ) FAX ( ) PHARMACY E-MAIL ADDRESS: 4 CURRENT DEA NUMBER: 5 TYPE OF PHARMACY:.

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