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Profarma Registration Form
Please complete all required fields!
Dear User,
Welcome to the Profarma online registration.Please complete the fields below and click on "Register" to send us your registration. Please proceed as follows:
Step 1: Fill out and send in the registration form now
Step 2: Send us your identification certificate
Step 3: Verify your registration request
Your registration request will be processed immediately. All personal information will be handled in accordance with Albanian and international standards of privacy. All fields marked with * are required for the registration process.
Step 1: Fill out and send in the registration form now
You are either :
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Doctor
Pharmacist
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Salutation
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Title
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Mr
Mrs
Miss
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First Name
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Last Name
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Hospital / Institution
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Special Field
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Street
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Postal Code
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City
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Country
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Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
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Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
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Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Zealand
Nicaragua
Niger
Nigeria
North Korea
Norway
Oman
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
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Phone Number
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E-mail
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Login Name
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Password
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Verify Password
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Please verify your password !
Terms of use
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Yes, I agree to the terms of use
Please agree to the terms of use.
Terms of use
I consent to the storage of details provided by me pertaining to my person, profession and work address by Profarma Sha, Rr.Myslym Keta, Ish Antibiotiku,Tirana, Albania (hereinafter called "service provider") and to the disclosure of the data to the service provider's affiliates. I understand I have the option to object to the data recorded by the service provider pertaining to me and to the drafting of anonymous user profiles. I realize I may have this data corrected, deleted, modified or amended upon request.
Step 2: Send us your identification certificate
Please send us your identification certificate stated below by uploading it here, by e-mail or transmit a scan by mail to:
Profarma Sha
Rr.Myslym Keta, Ish Antibiotiku
Tirana, Albania
E-mail: info@profarma.al
Eligible identification certificates are:
License to practice medicine (approbation)
Pharmacist license
A copy of your business registation certificate
Do you have any questions?
If you have any further questions please do not hesitate to contact us under:
Phone: +355 42 389602
E-mail: info@profarma.al
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