Valley Medical Pharmacy 
630 Main Street 
Brawley, CA 92227 
eRx ID#0585957 
1 (800) 322-0808 | Toll Free Fax: 1 (855) 322-0808 
Email: drugsdepot@yahoo.com 
Web: www.drugsdepot 
Timing: Monday to Friday | 9:00 AM to 5:45 PM 


Patient Counseling Record & Third-Party Rx Log

Image 0 of Patient Counseling Record & Third-Party Rx Log

Patient Counseling Record & Third-Party Rx Log

$46.79

Meets OBRA '90 requirements with spaces for date, Rx number, new/refill status, patient's signature for counseled or refused counseling, space for your initials and a comment area.

-Pages printed on both sides
-50-page register
*Item No.: APOK52635

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