Special of the Week Order Form carloscaro 2018-07-22T14:28:35+00:00

Special of the Week Order Form

Practice Name (required)

Phone Number (required)

Fax

Contact Person (required)

Email (required)

Quantity	Description	Price
	Dexamethasone 4mg x 30ml
	Table Paper 18" Smooth x225 ft 12 rolls
	Ketorolac 60mg 2ml Bx.25
	Ceftriaxone 1gm Injection Bx,10
	MedroxyProgesterone Inj. 150mg
	Cefazolin Inj, SDV 1gm Bx.25 $ 22.99