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Step 1
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Sex
Male
Female
Step 2
Step 2
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Choose Nationality
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
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Belize
Benin
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Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
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Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of The
Cook Islands
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Cote D'ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
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Georgia
Germany
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Gibraltar
Greece
Greenland
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Guinea-bissau
Guyana
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Iraq
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Korea, Republic of
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Mali
Malta
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Martinique
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Mayotte
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Moldova, Republic of
Monaco
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Montserrat
Morocco
Mozambique
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Nigeria
Niue
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Poland
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Saint Kitts and Nevis
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Samoa
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Tajikistan
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Thailand
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Tokelau
Tonga
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Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
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Ukraine
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Uruguay
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Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
The Academic Qualifications
Diploma
Bachelor
Pharm D
Master
PhD
Residency
Fellowship
Student
The Current Practice Area
Inpatient Pharmacy
Outpatient Pharmacy
Clinical Pharmacy
Drug Information
Medication safety
Pharmacy Education and Training
Pharmacy Research
Community pharmacy
Other (please specify)
Your Current Position/ Job Title
Manager of Pharmaceutical care
Hospital pharmacist
Supervisor of pharmacy units
Pharmacy Technicians
Lecturer
Community Pharmacist
Clinical Pharmacist
Other (please specify)
Company/Institute or Place of Work*
Hospitals
Private Hospitals
University hospital
Primary care centers
Ambulatory care clinics
Community pharmacy
Other (please specify)
Preferred Mailing Address*
Home
Work
Other
Country of Residence*
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of The
Cook Islands
Costa Rica
Cote D'ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-bissau
Guyana
Haiti
Heard Island and Mcdonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, The Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and The South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Timor-leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Step 1
Step 3
Step 3
All Fields are required in this step
Please tell us a little bit about yourself.
Primary Job Function*
Director of Pharmacy
Assistant/Associate Dean
Clinical Pharmacist
Clinical Research Coordinator/Manager
Consultant Pharmacist
Drug Information Specialist
Fellowship Program Director
Pharmacy Fellowship Preceptor
Pharmacy Manager/Supervisor
Pharmacy Student
Professor
Retired
Other
Primary Practice Locale*
Ambulatory Clinic
College of Medicine
College of Pharmacy
Community Hospital
Community Pharmacy
Contract Research Organization
Government Hospital
Home Health Care
Long Term Care
Managed Care
Mental Health Facility
Private Hospita
Pharmaceutical Industry
University Hospital
Other
Are you a student ?*
Yes
No
How did you hear about us ?*
Twitter
Facebook
Linkedin
Telegram
WhatsApp
Google
Others
Interests (Check more than one)
Administration
Adult Medicine
Adverse Drug Reactions
Advocacy
AIDS / HIV
Ambulatory Care
Analgesia
Anticoagulation
Biotechnology
Cardiology
Central Nervous System
Clinical Research
Community Practice
Critical Care
Dermatology
Drug Abuse
Drug Information
Drug Interactions
Drug Utilization Review / MUE
Education and Training
Emergency Medicine
Endocrinology
Family Medicine
Gastroenterology
General Medicine
Geriatrics
Global Health
Health Outcomes
Hematology
Herbal Medicine
Home Health Care
Immunology
Infectious Diseases
Managed Care
Medical Ethics
Nephrology
Neurology
Nutrition
Obstetrics & Gynecology
Oncology
Other Interest Area
Pain and Palliative Care
Pediatrics
Perioperative Care
Pharmaceutical Industry
Pharmacoeconomics
Pharmacoepidemiology
Pharmacogenomics
Pharmacokinetics / Pharmacodynamics
Pharmacology
Pharmacotherapy
Post-marketing Surveillance
Psychiatry
Pulmonary
Research
Rheumatology
Specialty Certification / Recertification
Surgery
Toxicology
Transplantation
Urology
Women's Health
Step 2
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