LOCAL FOOT DOC
REQUEST FOR PHARMACY INFORMATION
On March 13, 2015, Governor Andrew M. Cuomo and the New York State Legislature amended the Public Health Law and the Education Law to extend the implementation date for mandatory electronic prescribing to March 27, 2016.
Please provide the below information:
Pharmacy Name:
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number:
Format: (000) 000-0000.
ALL MEDICATIONS ARE SENT THROUGH COMPUTER, NO WRITTEN PRESCRIPTIONS AS OF 2015.
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