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Retailers are not required to obtain a license to sell tobacco products.7 A license is not required to sell e-cigarette products.10 Youth access laws Effective December 2019, the United States adopted a law raising the federal minimum age of sale of all tobacco products to 21

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[43] The company also operates a secondary distribution center in DeForest, Wisconsin, which serves stores in the southeast Wisconsin area

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Emerging concerns and future directions The primary strategy to reduce the burden of COPD is to address all risk factors, especially exposure to all forms of tobacco smoke throughout life, to promote respiratory health and overall well-being [126]