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Get Pa 854 143 2015

Macy@pa.gov NONRESIDENT PHARMACY APPLICATION (#854 143, 11/15) Instructions: 1. Make check or money order payable to the “Commonwealth of PA.” Fees are not refundable. Note: A processing fee of $20.00 will be charged for any check or money order returned unpaid by your bank, regardless of the reason for non-payment. 2. If a pending application is older than one year from the date submitted and the applicant wishes to continue the application process, the Board shall require the applicant t.

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