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                    Client Information 
                     
                    
                     
                    
                    
					
                        
                            
                                
                                    
                                        
                                        
                                            
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                                                    DEA Registration Number:
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                                                    Company Name:
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                                                    Client Number:
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                        Form–41 Scheduled Drugs
                     
                    
                    
                        
                        To create a Form-41 you need to specify a DEA number.
                     
                    
                        
					
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                                    Order #
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                                    Started
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                                    Paperwork Sent
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                                    Received
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                                    Destroyed
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                                    Rpt
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                        Form-51 Legend/OTC Drugs
                     
                    
                    
                        
                     
                    
                        
					
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                                    Order #
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                                    Started
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                                    Received
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                                    Destroyed
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		PSI Registrant Location 1551 NW 54th St., Ste 102B Seattle, Washington 98107 |