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President

Jason Baker, Pharm.D., R.Ph.

342 Hillcrest Ave
Louisville KY 40206

Fax: 502-805-0615
Mobile:502-741-6578

Email:  Jason.Baker@FlexibleRX.com

Website: www.FlexibleRX.com

Assistants:  Kate and Maria

Information Request Form (for Potential Clients or Pharmacists)

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*First Name *Last Name and Title
*E-mail    
Home Street Address Home City
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        Mobile Phone  Home Phone
     Do U Text Message (SMS) on your Mobile Phone?   

 Yes

   
Is it okay for us to call you at your place of work?  Yes    
Company    
Business Phone, Extension    

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Email your resume to info@FlexibleRX.com

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Send mail to Jason.Baker@FlexibleRX.com with questions or comments about this web site.
Copyright © 2009 Flexible Pharmacy Services, PLLC
Last modified: 03/30/09

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