Get Optima Health Flu Network 2010 - 2011 Pharmacy Name Address 1 Address 2 City State Zip Phone The

This guide provides clear instructions on how to complete the Optima Health Flu Network 2010 - 2011 pharmacy name address form online. By following these steps, users will be able to accurately fill out the necessary fields and ensure their submission is complete.

Follow the steps to fill out the form accurately.

1. Press the 'Get Form' button to retrieve the form and open it for editing.
2. Begin by entering the pharmacy name in the designated 'PHARMACY NAME' field. Ensure the name matches the records held by the pharmacy.
3. Input the pharmacy's primary address in the 'ADDRESS 1' field. It is important to provide the street address for accurate identification.
4. If there is a secondary address, include it in the 'ADDRESS 2' field; otherwise, you may leave this field blank.
5. Enter the city where the pharmacy is located in the 'CITY' field. Make sure to spell the city name correctly.
6. Select the appropriate state code in the 'STATE' field from the dropdown menu available.
7. Fill in the 'ZIP' field with the accurate postal code for the pharmacy's address.
8. Provide the pharmacy's contact number in the 'PHONE' field. This number should be accessible for any inquiries or updates regarding the flu vaccine availability.
9. Review all entered information for accuracy. Make corrections if necessary.
10. Finally, save the changes to your document. You can download, print, or share the form based on your needs.

Complete your documents online to ensure you’re prepared for flu season.