Customer Management

Customer List

Personal Information

User Name

First Name

Last Name

Pharmacy Name

Pharmacy Email

Conatct Email

Contact Number1

Contact Number2

Address Information

Address 1

Address 2

City

Zip Code

Billing Address Information

Billing Address1

Billing Address 2

Billing City

Billing Zip Code

Other Information

Legal Pharmacy Name

DBA Name

Activation End date

Dummy Name

Status

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Notes