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DOH Form 690-104 Verification of Current Active Pharmacy Practice - Washington
What Is DOH Form 690-104?
This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DOH Form 690-104?
A: DOH Form 690-104 is a verification form for current active pharmacy practice.
Q: Who uses DOH Form 690-104?
A: Pharmacists and pharmacy technicians use DOH Form 690-104 to verify their current active pharmacy practice in Washington.
Q: What is the purpose of DOH Form 690-104?
A: The purpose of DOH Form 690-104 is to provide proof of active pharmacy practice for licensure or other administrative purposes.
Q: Is DOH Form 690-104 specific to Washington?
A: Yes, DOH Form 690-104 is specific to the state of Washington.
Q: What information is required in DOH Form 690-104?
A: DOH Form 690-104 requires information such as the applicant's name, license number, and details of their current active pharmacy practice.
Form Details:
- Released on August 1, 2016;
- The latest edition provided by the Washington State Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of DOH Form 690-104 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
