Transcription of APPLICATION FOR NEW TELEPHARMACY LICENCE …
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APPLICATION FOR NEW TELEPHARMACY LICENCE …
College of Pharmacists of British Columbia | 200 - 1765 W est 8th Ave Vancouver, BC, V6J 5C6 | Tel: | Fax: | 9040-App_New_Pcy_Telepharmacy Effective 2017-11-15 (Posted 2017-11-14) APPLICATION FOR NEW TELEPHARMACY LICENCE Community Fo rm 2 Page 1 of 3 1. TELEPHARMACY INFORMATION Proposed Operating Name Proposed Opening Date MMM | DD | YYYY TELEPHARMACY Address City Province BC Postal Code Mailing Address (if different from above) City Province Postal Code Email Address Phone Number Fax Number Website Software Vendor (for dispensing) Pharmacy Technician Name Registration Number (BC)
The College collects the personal information on this application form to process the application and administer the College's related activities.
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