smith's pharmacy, toronto, on, The Holistic Approach taken at Smith‘s over the past 25 years has made us known as ‘Canada‘s Natural Pharmacy‘.

New Account and Credit Application for Doctors

Smith’s Pharmacy

"Canada’s Natural Pharmacy”

New Account and Credit Application

Simply cut and paste this form to your email account, fill out, and send to:
info@smithspharmacy.com

Business Name _______________________

Date _________

Contact Name ________________________

Accounting Contact Name __________________________

Shipping Address __________________________________

City __________

Prov ___________ Postal Code __________

Phone (______)____________

E-mail ___________________

Fax (______)______________

Licence #: ________________

Credit Card Information

Visa ___  Mastercard ___ Amex ___


Credit Card Number ______________________

Expiry Date ___/________  Name on Card ________________

Signature of Cardholder ___________________________

Print Name _____________________________________

Signature _______________________________________

Date ________
 
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Smith's Pharmacy
Toronto, ON M4N2N3
More Info
 
Smith's Pharmacy
Main Store
3463 Yonge Street
Toronto, ON M4N2N3
 
Hours of Operation:
  Mon: 9a.m.-8p.m.
  Tues: 9a.m.-8p.m.
  Wed: 9a.m.-8p.m.
  Thurs: 9a.m.-8p.m.
  Fri: 9a.m.-8 p.m.
  Sat: 9a.m.-5p.m.
  Sun: 10a.m.-3p.m.
 
Smith