-
,for, Item ID-
- #876547
- Phoenix Printing #790-0116QR
Healthcare Form Claim Form
FORM, HCFA 1 PT CONT REVISION DATE 02/12 (2500/CT)
Product Details Email
Product Specifications
McKesson # | 876547 |
---|---|
Manufacturer # | 790-0116QR |
Manufacturer | Phoenix Printing |
Country of Origin | Unknown |
Application | Healthcare Form |
Color | White / Red |
Material | Paper |
Type | Claim Form |
UNSPSC Code | 42142304 |
Features
- Continuous revision date 02/12
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