Wholesale Chemist

Price Registration Form

Wholesale

Please complete this form and submit it

Note: IT Pharmaceutical Supplies are able to arrange the supply of pharmacy medicines ONLY to licensed wholesalers of pharmaceutical supplies, NOT direct to end-users.

E-mail Address
Password
Confirm Password
Company
Contact Name
Address
Address
City
State
Zip Code
Country
Phone
Fax
Wholesale Licence Number
Agency that granted your Licence
By submitting this form you acknowledge that you have read the Terms of Trade Document

	All matters and transactions in relation to this site are governed by the laws of New Zealand and will be settled in New Zealand under New Zealand law.
	Wholesale Chemist is a division of IT Pharmacuetical Supplies Ltd Email: service@wholesalechemist.com Website: http://www.wholesalechemist.com Postal Address: PO Box 1011, Tauranga, New Zealand Street Address: 94 2nd Avenue, Tauranga, New Zealand Phone: +64 7 571 2046 Fax: +64 7 571 2013

	Copyright 1999, 2000 by IT Pharmaceutical Supplies Ltd.