Information Request Form

Section: Main.PSYCHIATRY
Code: 245
Product: Fluoxetine. Racemate. Mfg. USA. E.
Company or Organization:
Contact's name *:
Position:
E-mail:
Mailing address:
Phone number:
Fax number:
Fields of interest: MARKETING BY
PATENT ASSIGNEE
PRODUCTION BY
TRADEMARK
WEBSITE

* If you are not linked to any company or organization complete at least this field