Apothacare - Software for Today's Pharmacy

General Information Request Form

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So that we may better understand your needs and what you're looking for in a consulting system, please fill out the form below and be as thorough as possible. We will be able to tailor a response and information packet more effectively for you based on what you fill out.

When you are finished, click the Send button at the bottom of this form to send it to Apothacare.

Your full name:
Your email address:

Your company:

Your phone number (with area code):
Your fax number (with area code):
Address:
City/Town: State/Prov.: Post./Zip Code:
Country:

I am interested in (check all that apply):

Drug Encyclopedia
Personal Recommendation Library
Downloading data from other Provider Systems
Training
Leasing options

Approximately how many patients do you consult per month?

Any additional comments:

 

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