Pharmacistcoop

Report a Pharmacy Closure

All personal information will remain anonymous. Your contact details will only be used if we need to get in touch with you to confirm any of the details.

Full name*

Email address*

Contact number

Company name*

Branch address line 1*

Branch address line 2

Branch city

Branch post code

NHS Branch Code*

Date of closure*

Hours closed*

If part day closure, number of hours closed (Number of hours closed should be number of NHS core hours closed (where the Pharmacy was expected to be open)

Expected opening hours

Please tick this if you have offered shift?

Hourly Rate(£)

What hourly rate did you offer?

Maximum Rate(£)

What was the maximum company was willing to pay?

Please select your evidence. Screenshots of email correspondence, text messages, etc:

You can select multiple files now

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