Hawkins, Inc. - Pharmaceutical Group: Contact Us

Hawkins Pharmaceutical Group
3000 East Hennepin Avenue
Minneapolis, MN 55413

Local Phone: 612-617-8600
Toll-Free Phone: 800-375-0009
Fax: 612-617-8544
Email: pharmcs@hawkinsinc.com

Request: Catalog | New Product | COA and/or MSDS

Catalog Request Form

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Account #:	*
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Name:	*
Position/Title:
Company Name:
Address:
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Phone Number:	*
Fax Number:
Email Address:	*

What is your type of business? Pharmacy Hospital Manufacturer Wholesaler/Distributor Physician Dermatologist Other:

How long have you been compounding? 0-3 years 4-9 years 10+years I don't compound

What areas do you compound? HRT Vet Pain/Hospice Respiratory Dermatological Other:

Do you use capsules? Yes No

Do you use bases? Yes No

Who is your current compounding supplier?

What is your preferred method of communication? Phone Fax Email

Would you like to receive our monthly specials via fax and/or email? Fax Email Both Neither

Comments:

New Product Request Form

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Name:	*
Position/Title:
Company Name:
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Fax Number:
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Name (including grade):	*
Size:	*
Approx. Monthly Usage:	*
Price Range:	*

COA/MSDS Request Form

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Name:	*
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Product:
Lot Number:
CAS Number: