APPROVED OMB NO. 1117-XXXX | ||||||||
FORM DEA-332 (xx/09) | ||||||||
REPORTS OF DISPENSING OF CONTROLLED SUBSTANCES BY ONLINE PHARMACIES | ||||||||
1. | DEA Registration Number: | |||||||
2. | Action: | _____________ | I = Insert new record U = Update an existing record D = Delete a previously reported record N = No activity to report |
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3. | Reporting Period: | |||||||
4. | National Drug Code (NDC Number) | Quantity in dosage units | ||||||
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continues as needed | ||||||||
In accordance with the Paperwork Reduction Act of 1995, no person is required to respond to a collection of information unless it displays a valid OMB control number. The OMB number for this collection is 1117-XXX. Public reporting burden for this collection of information is estimated to average 15 minutes per response. |
File Type | application/vnd.ms-excel |
Author | Ursula Bivens |
Last Modified By | lbryant |
File Modified | 2009-04-15 |
File Created | 2009-02-26 |