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Ciprofloxacin for fish

Please provide pet and veterinarian information for prescription purchases below:
As a licensed pharmacy, we are required to ciprofloxacin for fish collect selected health and safety information on your pet.

Pet Information
The following information is required to process your prescription order request. Please note that your pet's health is our first priority. Please complete the below information to allow our pharmacy staff to review your pet's medication needs.
Indicated fields are required to add this product to your cart.

Pet Name   Owner Name 

Type of Pet --Pet Type-- Dog Cat Bird (Caged) Fish (Aquarium) Fish (Pond) Reptile Ferret Small Animal Horse Farm Animal Breed: First Select Type of Pet Other 

Gender:   Male   Female      Birthday  Weight (lbs) 
 No  Yes - Is your pet Neutered or Spayed?
 No  Yes - Is your pet pregnant?
 No  Yes - Has your pet had an allergic or other reaction to any medications? (put in comments)
 No  Yes - Is your pet taking any medications not purchased through us? (including OTC and herbal)
 No  Yes - Does your pet have any medical conditions?

Enter Comments below

fish
Vet Clinic Vet's Name
Addr Vet Phone (999) 999-9999
Addr FAX Number (999) 999-9999
City
State Zip 

Source: http://www.lambertvetsupply.com/Fish-Flox-Forte--Ciprofloxacin_p_2734.html


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