na0.icarol.com
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20.63.48.103
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URL:
https://na0.icarol.com/pub/VerifyResourcePublic2.aspx?k=0a63ca6e-6a02-4674-9f9c-952a359168a0
Submission: On May 09 via manual from US — Scanned from CA
Submission: On May 09 via manual from US — Scanned from CA
Form analysis
1 forms found in the DOMPOST ./VerifyResourcePublic2.aspx?k=0a63ca6e-6a02-4674-9f9c-952a359168a0
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<td valign="top" colspan="3" style="font-weight:bold;">1 resource to be verified:<br><br></td>
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<td valign="top" colspan="3"><br>Avera<br></td>
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<td valign="top" colspan="2"><br>Program:<br><b>State Street Pharmacy</b><br></td>
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<td>At: State Street Pharmacy at Aberdeen - 105 S. State Street</td>
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<span id="lblInstructions"><b>Please help us keep your information updated in our database</b><br><br> In order to ensure that we are providing accurate information to our callers,<br> we periodically need to confirm our records about
your services, listed to the <br> left side of this screen, in our database.<br><br> Please spend a few minutes to confirm or update this information.<br> On behalf of our staff and callers, we thank you for your
time.<br><br>Sincerely,<br><br>The team at Helpline Center<br><br></span>
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<span id="lblTagToBegin">To begin, please confirm your contact information. This helps us know who provided the updated information today.</span><br>
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Text Content
1 resource to be verified: Avera Program: State Street Pharmacy At: State Street Pharmacy at Aberdeen - 105 S. State Street Please help us keep your information updated in our database In order to ensure that we are providing accurate information to our callers, we periodically need to confirm our records about your services, listed to the left side of this screen, in our database. Please spend a few minutes to confirm or update this information. On behalf of our staff and callers, we thank you for your time. Sincerely, The team at Helpline Center To begin, please confirm your contact information. This helps us know who provided the updated information today. Your name * Your email address * Your phone number Your title Next you'll be guided through the steps to review and update the record(s) listed at the left.