Join DR.Khokha as a Medical Shop / Pharmacy

Business Information

Business / Shop Name *

Owner / Contact Person *

Email Address *

Subscription confirmation will be sent here

Phone Number *

Shop Address

City *

Used to show your ad to nearby patients

Pincode *

State

Drug License Number *

Your pharmacy drug license issued by the licensing authority.

Pharmacist Registration No. (Optional)

Registered pharmacist certificate number.

Referral Code (Optional)

Both you and your referrer will earn HB Coins after signup.

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