Information Request Form

Section: Main.A1. CORP. INDEX. S-Sm.Salix Pharmaceuticals/P C2.2003. 11.04.2003. (Azathioprine..)
Code: 54699
Product: USA. S
Company or Organization:
Contact's name *:
Position:
E-mail:
Mailing address:
Phone number:
Fax number:
Fields of interest: AGREEMENT

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