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Request Your PMP Patient Record

Document Type
Form
Individual_Patient_PMP_Request_20191220.pdf
Official Seal of the State of Arizona

Contact

Arizona State Board of Pharmacy - Controlled Substances Prescription Monitoring Program
1110 W. Washington St., Suite 260
Phoenix, AZ 85007

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Phone: (602) 771-2730
Fax: (602) 771-2748

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