Online Application




Members Directory

For a list of Pharmacists' Professional Society of the San Fernando Valley board members, officers, and store locations, please
check the directory

CPhA is working hard to listen to pharmacists across the state. We are committed to making this a nonprofit association serving the entire profession of pharmacy. With numbers, CPhA can defend and advocate the profession of pharmacy. Become a member today and help in that fight, while enjoying the benefits of membership.



Date:

CA Lic #    

(Select one)
Mr.     Mrs.    Ms.     Dr.     Other

Name:

Personal Information

Home Address:

City:

State:       

Zip

Home Phone:

()

Home Fax Number:

()

Home E-mail address:

Work Information

Work Address:

City:

State:       

Zip:

Work Phone:

()

Work Fax Number:

()

Work E-mail address:

Preferred email address for correspondence:

Highest Degree (select one):
B.S     Pharm.D.     M.S.     Ph.D.

Graduation Date for Highest Degree:

Referred By:


Membership Selection

Pharmacist Member … $390.00

2nd Year Graduate … $250.00

Associate with optional Local … $150.00

Pharmacy Technician … $100.00

Pharmacy Technician with optional Local … $125.00

1st Year Graduate … $125.00

Associate (non-pharmacist/sales reps.) … $125.00

Pharmacy Resident … $65.00



1 FREE Academy Membership:
Please designate which academy you wish to be placed in. (Pharmacists only)

Pharmacy Owners

Long Term Care

Pharmacy Students

Hospital Pharmacists

Employee Pharmacists (subselections: Manager Staff )

Pharmacy Specialties Please choose one:

$25 for each additional academy added.


How did you hear about the association?

         
CPhA dues are not deductible as a charitable contribution for tax purposes. Effective January 1, 1994, the IRS will not allow a deduction for the 14% of your CPhA dues spent for lobbying purposes. The remainder of your CPhA dues may be deductible as a business expense. Please consult your accountant for more information.

Questions? Call the Membership Division at (800) 444-3851 (CA Only) or (916) 444-7811.

Questions? Send us an e-mail!


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