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Get IA 588-8086 2013-2024

HOLESALE DRUG LICENSE NO.: LICENSE FEE: $270.00 EXPIRATION DATE: 2 NAME & MAILING ADDRESS where all correspondence regarding licensure will be sent if other than licensed location below. Name Remit check or money order payable to: IOWA BOARD OF PHARMACY Address (DO NOT SEND CASH) City,State,Zip Every wholesale distributor, wherever located, who engages in wholesale distribution into, out of, or within Iowa must be licensed by the Board before engaging in wholesale distribution of prescri.

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