Quality Rx Returns

A Better Approach to Return Goods Processing

Contact Us

2936 Middlebrook Pike

Knoxville, TN 37919

727.499.2211

Pharmaceutical Inventory

Please fill out the pharmaceutical inventory State License and DEA License before shipment. Please secure a copy of your inventory enclosed in an envelope on the outside of the box. Thank You!

Download Printable Form

*Your Name

*Address

*City, State, Zip
,

*Phone Number

*State License

*DEA #

Pharmacist

Item 1

Quantity

NDC #

Description (include strength and dosage)

Item 2

Quantity

NDC #

Description (include strength and dosage)

Item 3

Quantity

NDC #

Description (include strength and dosage)

Item 4

Quantity

NDC #

Description (include strength and dosage)

Item 5

Quantity

NDC #

Description (include strength and dosage)

Item 6

Quantity

NDC #

Description (include strength and dosage)

Item 7

Quantity

NDC #

Description (include strength and dosage)

Item 8

Quantity

NDC #

Description (include strength and dosage)

Item 9

Quantity

NDC #

Description (include strength and dosage)

Item 10

Quantity

NDC #

Description (include strength and dosage)

Pharmacist

Quality RX Returns, Inc.
2936 Middlebrook Pike
Knoxville, TN 37921
P:(727) 499-2211
F: (865) 951-2497
State License#: 3170
DEA#: RQ0395930

Quality Rx Returns

2936 Middlebrook Pike

Knoxville, TN 37919

Email: admin@qrxreturns.com

727.499.2211 Phone

© 2010 Quality Rx Returns. All Rights Reserved.