Pharmacy-Back End

The pharmacy

Pharmacy business name *

Number of branches (including head office) *

Head office state *

Local Government Area (LGA) *

Head office physical address *

Pharmacy GPS location (optional)

Stand inside your pharmacy and capture its location to help customers and riders find you.

Latitude

Longitude

Additional branches

Add the location of each additional branch. The head office is branch 1.

Pharmacy Owner

Surname *

First name *

Title *

Phone number 1 *

Phone number 2 (optional)

Email address *

Email verification code

A six-digit code will be sent through your registration backend.

Your Website

Website name *

Business email address *

Preferred website colour theme

Choose 1 to 3 colours for your storefront. The first colour is your primary colour.

Primary colour

1 of 3 colours selected

Pharmacy logo (optional)

PNG, JPG, WebP or SVG. Your file stays in the browser until submitted to a connected backend.

Customer service phone numbers

Bank account for online payments

Where you would like to receive payments from your customers.

Account number

Account name

Bank name

Social media links (optional)

Payment

Review your pharmacy registration and choose your subscription.

Registration summary

Choose a subscription plan *

Number of months

months (1–11)

1 month ₦10,000 · 2 months ₦20,000 · 3 months ₦40,000. 12 months: choose the yearly plan.

Amount payable

₦10,000

Monthly subscription

Payment and registration submission require a secure connection to your live backend and payment gateway. No payment is collected by this standalone HTML.