Registration

Username*

Email*

First Name

Last Name

Store Name*

https://medicinefinder.co.in/seller/[your_store]

Address 1*

Address 2

Country*

City/Town

State/County

Postcode/Zip*

Store Phone*

Wholesaler (Medicine)

stockist( medicine)

Retailer(Medicine)

Health care professional

license copy

license number if any (optional)

Password*

Confirm Password*

* Agree  Terms & Conditions

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