Nevada Pharmacist





















Association

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If you don’t support Nevada pharmacies . . . who will?
Joining the Nevada Pharmacy Association is your first step. Getting involved is the second. If you are someone that can make a difference on a committee, please let us know. The more people that get involved, the more professional the association becomes.

Please fill out the form below to join the Nevada Pharmacist Association. Click to download a printable version of the form.

Personal Information:

 

Name:

Male Female

Date of Birth:

School:

Year Graduated:

 

 

Home Information:

Business Information:

Home Address:

Name of Business:

City:

Business Address:

County:

State: Zip:

City:

Home Phone:

County:

Home Fax:

State: Zip:

E-mail:

Business Phone:

 

Business Fax:

Credentials: RPh  PharmD  CPhT Other:

Registered Pharmacist

$75.00

Lifetime Member

$1,500.00

Pharmacy Technician

$35.00

Retired

$40.00

Associate Member

$40.00

Additional Donation

Student

$10.00

Peer Review Journal*

$25.00

*Western Journal of Pharmaceutical Care: 4 issues/year (Not included in above dues.)

 

 

 

 

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