Information Request Form

Section: Main.NEUROLOGY..Epilepsy. Treat..GabaPentin (GABA Agonist).((1-NH2-Me)-1-Cyclohexane-CH2CO2H)).Co.: USA. A (Generic Tablet/Patent).Company
Code: 80437
Product: USA. A
Company or Organization:
Contact's name *:
Position:
E-mail:
Mailing address:
Phone number:
Fax number:
Fields of interest: COMPANY

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