Quality Rx Returns

A Better Approach to Return Goods Processing

Contact Us

2936 Middlebrook Pike

Knoxville, TN 37921

727.499.2211 Phone

877.394.5810 Toll Free

865.951.2497 Fax

Pharmaceutical Inventory

Please complete the pharmaceutical inventory form including  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

TollFree:(877)394-5810
Phone:(727) 499-2211
Fax: (865) 951-2497
State License#: 3170
DEA#: RQ0395930

Quality Rx Returns

2936 Middlebrook Pike

Knoxville, TN 37921

Email: admin@qrxreturns.com

Contact Us

727.499.2211 Phone

877.394.5810 Toll Free

865.951.2497 Fax

© 2012 Quality Rx Returns. All Rights Reserved.

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