If you’re working on getting set up as a DMEPOS, you’ll go through an inspection on behalf of the National Supplier Clearinghouse. You’ll need to get ready with these forms (total of 4 pages). They come as a Word document so you can easily fill in your pharmacy’s information.
Each download allows for the copy and use of the form for one pharmacy permit.
NOTE: This form is intended as an aid only and Pharmacy Compliance Specialists, LLC, shall not be held liable for damages resulting from the use or misuse of this product.
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