Pharmacy Registration form

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Pharmacy Registration Form

First Name *

Last Name *

Email Address *

Alternate Email Address

Phone Number *

Alternate Phone Number *

Select Membership Plan *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Upload Aadhar Card & Successful Payment Receipt.

Pharmacy License *

Checkbox *

I accept all terms & conditions

Account Details

Greetings from Animal’s App by Animalsomatic Clinic (Firm)

Bank Account Details for ( NEFT / RTGS / IMPS ) Transfers.

After payment confirmation please share the reciept at info@animalsapp.in

Name: ANIMALSOMATIC CLINIC ( Animal’s App )
Account Number:50200081861238
IFSC: HDFC0008691
Bank: HDFC Bank
Branch::Pundag,Ranchi, Jharkhand

After payment confirmation please share the reciept at info@animalsapp.in

Greetings from Animal’s App by Animalsomatic Clinic (Firm) Please scan the QR for hassle free payment.