Information Request Form
Section:
Main.A2. TRADEMARK. INDEX. P-Pm.Pepcid..Pepcid AC 10 mg Cap.
Code:
87057
Product:
USA. J
Company or Organization:
Contact's name *:
Position:
E-mail:
Mailing address:
Phone number:
Fax number:
Fields of interest:
FORMULATION
* If you are not linked to any company or organization complete at least this field