Name *
Surname *
E-mail *
Telephone number *
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I am.. Enterpreneur Pharmacist
Experience in the pharmaceutical sector * Yes No
Experience in franchising * Yes No
Experience in retail * Yes No
Company/Pharmacy *
Role in the company/pharmacy *
Format Dr. Fleming * Pharmacy Para Pharmacy Corner
Opening mode * Opening from scratch Pharmacy to convert Call for tenders for new apertures Aperture in the railway station, shopping center, airport ...
City in which to open the store *
Holding the location * Yes No
(If you have a location) Surface in sqm
(If you have a location) Location address
Text
0 + 1 = ? Please prove that you are human by solving the equation *
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