Register your pharmacy

Provide owner and business details. Fields marked with * are required.

1. Account owner

Person responsible for this pharmacy account.

First name *

Last name *

National ID / NIDA *

Government-issued identification number

Job title

Mobile phone *

Email address *

Username *

Used to sign in

Password *

Minimum 8 characters

Confirm password *

2. Pharmacy / business details

Legal and contact information for your first registered shop.

Pharmacy name *

Pharmacy license number *

Operating / premises license

TIN (Tax ID) *

Pharmacy phone *

Pharmacy email *

Postal / P.O. box

Street address *

City / town *

Region / district *

Country *

3. Agreement

I confirm that the information provided is accurate. I agree to Syntrax Pharmacy's terms of service and understand that my registration may be reviewed before the pharmacy is activated. *

You must accept the terms and conditions.

Already registered? Sign in · Back to home