• Open Daily 9 am - 5:30 pm
  • Call Us: (858) 726-2614 or Text: (858) 726-2614

Employment Application

Personal Information

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Have you been convicted of a felony offense relating to controlled substances or at any time, had an application for registration with the DEA denied, had a DEA registration revoked or surrendered a DEA registration for cause?
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In case of Emergency notify:
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Education

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Previous Employment Information

Previous Employer

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Previous Employer

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Previous Employer

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Professional / Work References

List two past supervisors and one person who is not related to you who have knowledge of your qualifications for the position for which you are applying.
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Additional Information

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Please read and click to confirm that you understand and agree
List two past supervisors and one person who is not related to you who have knowledge of your qualification for the position for which you are applying. Name Title/ Address Phone Occupation Professional/Work Reference May we contact your present employer? YES NO Additional information Wage or Salary Required Date Available If any of your educational or employment records are under other than the names above, please list here. I hereby certify that the answers and other information on this application are true and correct and that I understand any misrepresentation or omission of facts on my part will be justification for separation from the company’s service, if employed. I understand that my employment may be contingent upon receipt of an alien registration number, verification of birth, and any other pertinent information bearing upon my employment and my continued employment depends upon the will of the company or myself. I authorize personal substance abuse testing and criminal background checks both before and during employment, as deemed appropriate by management.
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About Us

PureScienceRX is a compounding pharmacy that offers customized medications that are not readily manufactured. Our Pharmacists and staff will work with your prescriber to customize the right prescription for you.

Get in Touch

PureScienceRX Compounding Pharmacy

  • 15644 Pomerado Rd., Suite 303
  • Poway, CA 92064
  • Phone: 858.726.2614
  • Fax: 858.312.1130
  • Click Here To Text Us

Our Office is open

  • Monday 9 am - 5:30 pm

  • Tuesday 9 am - 5:30 pm

  • Wednesday 9 am - 5:30 pm

  • Thursday 9 am - 5:30 pm

  • Friday 9 am - 5:30 pm