Programa de Pacientes Disfruto mi Salud
|   Language:   Spanish  |         Admission for patients -
The information provided on this site is not a substitute, nor does it constitute medical or professional advice of any kind.
Pharmacies Inscription
If your pharmacy is already registered in Celebrate Life program, enter here:
Check the box with the options you have or agree, in case you do not have what is requested or you do not agree, leave the box unchecked.

COUNTRY
Which of the following options refers to your case?
A- A - It belongs to a chain that is already part of the program and wants to register one or more new points of sale?
A1. Administrator User:
A2. Password:
Name of the pharmacy Address Contact name Phone E-mail Province Canton District
B - Do you belong to a new pharmacy or pharmacy chain that wishes to enroll in the program?
B1. Commercial name of the Pharmacy:
B2. Check the options with which your pharmacy counts:
Option A: Phone
Option B: Internet access
C - Do you agree to register the purchase and exchange immediately?
You are being informed that:
01. You must have your inventory for the delivery of the exchange to your patient, immediately.
02. You will receive the replacement of the product exchanged within a maximum period of 15 days, by the distributor.
01. Number of physical or legal identity card with which the pharmacy is registered
02. Name of the legal representative
03. Identity card of the Legal Representative:
04. Email of the legal representative
05. Name of the person who will administer the program at the pharmacy
06. Number of the person who will administer the program at the pharmacy
07. Email of the person who will administer the program at the pharmacy
08. Name of the person requesting to participate in the program
09. Email of the person requesting to participate in the program
10. Distributors with whom you work:
11. Way in which do you want to receive a refund of your exchanges
By Point of Sale

By Distribution Center
Name of the pharmacy Address Contact name Phone E-mail Province Canton District