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Herbal Pharmacy Registration
Please fill in your pharmacy information. We will review your application as soon as possible.
Pharmacy Name
*
Please enter the complete name of your pharmacy
Phone Number
*
For receiving review notifications
Country/Region
*
Select Country/Region
United States (US)
Canada (CA)
Australia (AU)
United Kingdom (GB)
Germany (DE)
France (FR)
Japan (JP)
South Korea (KR)
Singapore (SG)
Malaysia (MY)
Thailand (TH)
Hong Kong (HK)
Taiwan (TW)
Vietnam (VN)
Indonesia (ID)
Philippines (PH)
India (IN)
Italy (IT)
Spain (ES)
Portugal (PT)
Netherlands (NL)
Belgium (BE)
Switzerland (CH)
Austria (AT)
Sweden (SE)
Norway (NO)
Denmark (DK)
Finland (FI)
Ireland (IE)
Russia (RU)
United Arab Emirates (AE)
Saudi Arabia (SA)
South Africa (ZA)
Brazil (BR)
Mexico (MX)
Argentina (AR)
Chile (CL)
New Zealand (NZ)
Other
Other Country/Region
*
Please specify your country/region
State/Province
*
City
*
District/Area
*
Full Address
*
Please enter the complete street address
Business Hours
Please specify your pharmacy's operating hours
Logo Upload
Recommended size: 200x200 pixels, max 2MB
Pharmacy Photos
You can upload multiple images, each max 2MB
Special Features
Herbal Decoction
Delivery Service
Raw Herbs Retail
Herbal Consultation
Online Ordering
Custom Formulas
Patent Medicines
Health Products
24-Hour Service
Medical Insurance
Chain Store
Please select all applicable features
Pharmacy Description
Submit Application
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