DEXTRA GROUP INC.
1 St John's Rd unit 203
Toronto ON M6P 1T7
Canada
Tel: 416 418 6336
Fax: 1.866.394.1295
info@dextragroup.ca
Thank you for your interest in Dextra Group Inc.
Please fill out the information as requested below and press submit
* Pharmacy Name:
* Contact Name:
* Position:
Manager Owner Associate Other/Unknown
* Address:
* City
* Province:
Alberta British Columbia Manitoba New Brunswick Newfoundland & Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
* Postal Code:
* Phone Number(bus):
* Alternate Phone Number (cell):
* Fax:
* Email:
* Computer System:
Hold down CTRL key
for multiple selection
A & H Applied Technology Connexus EPos Fill Ware FlexiPharm Frontline Healthwatch Next Generation Kroll Kroll Windows MDS Nexsys PDX Pre-Scribe Propharm Rx/3000 ScriptPro Simplicity SureScripts T-Rex Tri-Comp Zadall Other
* Number Of Prescriptions:
* Methadone:
Yes No
* Dates Required:
* When you finish please pres OK