INDIANA WIC PROGRAM FOOD VENDOR APPLICATION

And, 31 of the 2.5-oz. glass jars of WIC approved baby food (meat only, may include broth or gravy) on hand? Yes No O. INFANT FORMULA: Is your store also a pharmacy? Yes No If No, list below the shelf price of the formulas you regularly stock. If Yes, have your pharmacy list below your price for ALL formulas. ................
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