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CONTROLLED SUBSTANCES Inventory Log - NCBOP

CONTROLLED SUBSTANCES Inventory Log Name of PHARMACY Name of REGISTRANT on DEA Registration: Address: City: _____ State: _____ ZipCode: _____ DEA Registration Number: _____ Date of Inventory : _____ Inventory Taken at: Opening or Closing of business OR Started at (time): _____ and Ended at (time): _____ _____ Signature of Person Responsible For Taking Inventory _____ Print Name of Person Responsible For Taking Inventory C-II Inventory FOR _____ PHARMACY DATE: ____ / ____ / _____ Page 1 PACK DOSE ON HAND UNIT DRUG DESCRIPTION SIZE UNIT SCHED.

c-ii inventory for _____ pharmacy date: ____ / ____ / _____ page 1 pack dose on hand unit

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  Inventory, Substance, Controlled, Controlled substances inventory log

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