Community Pharmacy Service
This category celebrates the dedicated individuals within pharmacy teams who have tirelessly served their local communities in a single pharmacy for more than 20 years. Nominations must be submitted by pharmacy business owners or managers. All forms must be completed by Monday 27th January 2025 and we look forward to receiving your nominations!
Name
*
Full name of person submitting this nomination
Title/Position
*
Job title/position
Phone Number
*
Phone number (personal/work)
Email Address
*
Email address (personal/work)
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Name of individual
*
Full name of the nominated individual
Pharmacy Name
*
Name of the pharmacy the nominated individual works at
Pharmacy Address
*
Street Address
Street Address Line Two
City
County
Post Code
Phone
*
Contact number for the nominated individual
Email
*
Email address the nominated individual can be contacted at
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Tell us more about the nominee. How many years havethey worked in the pharmacy? How do they contribute to the team? What is their relationship with customers and the community?
*
Max. 200 words
To accompany your nomination, please provide a high-resolution image of the nominee:
*
Deadline for submission:
Monday 27 January 2025
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