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Original Old Opium Coca Narcotic Pharmacy Order History Dea Form Englewood Nj For Sale
Original Old OPIUM Coca Narcotic PHARMACY Order HISTORY DEA Form Englewood NJ
Thank You for Shopping In the USA!
great original US Treasury Department form for Opium, Coca Leaves, or Compounds, Manufactures, Salts, Derivatives or Preparations!A similar form was recently shown on the History Channel during a program on illegal drugs. The Treasury Department used a certain dye to make this form look old. Please see photos!
The form is ornate with a beautiful poppy graphic on the top corner. It was issued to Frank Buckley, of Englewood, NJ. An order forPantopon, Papaverine HCL and TR OPII USPwas placed on May 18, 1943. This top black original was sent to D. Kattman, in Jersey City to be filled. The order form is large, 10 3/4" by 8 1/2", has two folds,twoholes from staplesand some ink smears, otherwise, condition is excellent....a beautiful form!
This is a FANTASTIC piece of history and would be great to display in a pharmacy, museum or office! I am happy to answer any questions you may have, please feel free to email and thank you for your interest!
Pleased to combine shipping with other Prohibition Prescriptions, Liquor Licenses, Opium Forms & Pharmacy Labels. As always, many thanks to my regular customers for your continued patronage! :)