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PickPoint Corporation
4234 Hacienda Drive, Suite 101
Pleasanton, CA 94588
T: 925.924.1700 800.636.1288
F: 925.924.1900

Please take a moment to fill out this form and let us know how Pickpoint Corporation can best help you.

Fields marked with an asterisk (*) are required.

Contact name
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Company
Street Address or P.O. Box
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City
* State * Zip Code *
Phone
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Fax
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E-mail
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Automation system in place
YES NO
Current system

What are the limitations of your current system?
Are you a hospital or clinic looking for after-hours or remote dispensing solutions?
YES NO
If you are a retail/community pharmacy, identify one or more of the issues you are trying to solve with automation:

If other please explain:
If you are a retail/community pharmacy, what is your weekly fill rate?
Do you anticipate an increase in your current volume?
YES NO
If YES, by what percent
What is your current Pharmacy Management System?
Do you expect to make a purchase decision on automation within:
Submit your information


Thank you. We encourage you to contact us with any additional comments and questions you may have.

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