New Pharmacy Request

In order to do this process you must confirm you are the owner of the establishment.

I am the owner of the pharmacy

This request of a new pharmacy is due to a recent transfer of a pharmacy

Select which is that pharmacy

Your name

Your Surnames

Telephone Number

Pharmacy name

CIF/NIF

Street

Nº

City

Province

Postal Code

To validate your pharmacy we need at least one of these documents:

Acta

Certificate

I want to be able to order products from Bayer online

IBAN

IBAN document

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