Pfizer Patient Assistance Program
P.O. Box 8509, Somerville, N 08876 T: 866-706-2400 F: 866-470-1748 Pfizer Patient Assistance Program: Instructions for Group A Enrollment Form P Gather the following required documents: P Completed and signed enrollment form Note: Please do not send in the Instructions, and please retain the HIPAA form for your own records.
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