Retailer Registration

Retailer Name *

Drug Licence No *

Pharmacy Name *

GSTNo*

Pharmasist Name *

Drug Licence No *

Mobile No *

Pharmacy Address *

*Pincode

State/Province

City

PharmacyImage *

Drug Licence Validity Date *

Pharmsist Registration No *

Pharasist Certificate *

We’re a team of non-cynics who truly care for our work.

It is World's & India's 1st healthcare mall so off course it is new and has no prior malls in country