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Pharmacy Survey (Elixir Academy24)
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Pharmacy Survey (Elixir Academy24)
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Your Data
Your Name
*
MR
Abdullah Mohamed
Adham Essam
Ahmed Emad EL attary
Alae Hussein
Bassant Atef
Halaa Zayed
Hosni Ali
Mahmoud Masry
Mahmoud osama
Mahmoud Saber
Manar ibrahim
Marina Mounir
Millina Mina
Mohamed Ashraf
Mohamed Karam
Mohamed Salah
Mohamed Tarek
Nadeen Hatem
Narden Hany
Reda Abdelaal
Saher Hesham
Salma El Mahdy
Sara Essam
Shorouk Ashraf
Youssef Yasser
Direct Manager
*
FLM
Abdal Hamed Hassan
Ahmed Ali
Asmaa Hussen
Laila Shaaban
Mohamed Gomaa
Mohamed Ruby
Mostafa Osama
Nour Ahmed
Sandy Samy
Sara Amer
Pharmacy Name
*
Location of Pharmacy
*
Date / Time
*
Next
Anaseziago
Local Anasethia (Prescribtion or OTC)
*
Prescribtion
OTC
Prescriber (Dermatology - Surgery - Other)
*
Dermatology
Surgery
Other
If Other
Previous
Next
Relatrolene
Availability
*
Yes
No
Dantrelax (Prescribtion or OTC)
*
Prescribtion
OTC
If Presctibtion please write Doctor Name:
Previous
Next
Pretoprazan
Main PPI/PCAB
*
PCAB Prescriber Doctor Name
*
Previous
Next
Wellinta
Availability
*
Yes
No
Main Indication ( Depression - Smoking Cessation )
*
Depression
Smoking Cessation
Previous
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