PO Box 683148
Houston, TX 77268
ph 888-247-8700
fx 888-247-8706
NPTA is the # 1 source for pharmacy technician products. Why?…Our Selection…Our Prices…and Our Service!
 
 
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NPTA Membership Application
 
Download this application to pay by check: Members Application

Step 1: Membership Information
* indicates required field
  First Name* Initial
  Last Name*
  Position Title
  Mailing Address *
  Address Line 2
  City* / State* / ZIP* / /
  Country
  Work Phone
  Home Phone
  Pager/Mobile Phone
  Fax
  Email
  Providing your e-mail address allows you to receive timely information from NPTA . It is a NPTA policy to not sell or distribute e-mail addresses of members.
 
   
Are you nationally certified? Yes       No
Gender Female Male
Date of Birth
   
Referred By NPTA Member:
Member's Name:
Member ID#:
   
or Referred by:
 Today's Technician
NPTA Website
Internet
Other
   
     

Step 2: Membership Categories

  SELECT YOUR PROFESSIONAL INTEREST GROUP(S).
Membership in Professional Interest Groups is FREE to all members. You may join as many groups as wish, with complete access to their specialized services and information.
         
 
Retail Pharmacy I Want to Join
Health-System Pharmacy I Want to Join
Compounding Pharmacy I Want to Join
Technician Managers/ Supervisors I Want to Join
Technician Trainers/ Educators I Want to Join
New Products & Technology I Want to Join
         

What is your Primary Practice Setting?

 
Retail - Chain
Long Term Care
 
Retail - Grocery
Nuclear
 
Retail - Independent
Military
  Community Hospital
Correctional Facility
  University Hospital
Formal Education
  Government Hospital
Sales
  Mail Order
Other
  Home Care  

How long have you been practicing in pharmacy?*

 
< 1 year
5-10 years
 
1-3 years
10-15 years
 
3-5 years
15-25 years

I am interested in the following:

 
Volunteer Involvement
Writing Opportunities
 
Serving on a Committee
Planning a Local Meeting
 
Speaking Opportunities
Other
       
 

Step 3: Payment *

All payments must be drawn on a US bank in US DOLLARS only. For Discounted Multi-Year Membership Rates, please call 888-247-8700.
$142.00 - Membership Dues (3 Years) - Save $20
$98.00 - Membership Dues (2 Years) - Save $10
$54.00 - Membership Dues (1 Year)
Promotion Code:
 
    Credit card
 
 
 

 

 
 

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