Register Medicine Store

Store Name *

Owner Name *

Email *

Phone Number *

Password *

Confirm Password *

Street Address *

Landmark (Optional)

City *

State *

PIN Code *

Choose how to set your location coordinates:

Click a button above to set your location

Pharmacy License Number *

GST Number (Optional)

Drug License Number (Optional)

Store Description

Specialties (Optional)

Website (Optional)

WhatsApp Number (Optional)

Store Image (Optional)

Upload store photo

License Document (Optional)

Upload license document

SLA Agreement Required: You must read and accept our Service Level Agreement before proceeding with registration.

Read & Accept SLA Agreement

I agree to the Terms and Conditions and Privacy Policy

Register Your Medicine Store