Medical and Pharmacy Advisors - Register as a Seller

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Register as a Pharmacy Seller

Your submission is strictly confidential. We agree to be bound by the terms of our Non-Disclosure, Non-Circumvention and Confidentiality Agreement.

Do you agree to the terms of the Agreement?

Yes No

Your Name

Name of your pharmacy

Pharmacy street address

City

State

Zip Code

Contact phone number

Contact email address

Preferred way to contact

Phone Email

Type of location

Part of a shopping plaza?

Clinic or hospital-based?

Specialty pharmacy?

If yes, please describe

Closed-door pharmacy?

Approximate store area in sq. ft.

Premises rented or owned?

Rented Owned

If owned, are you considering selling the premises?

No Yes

If rented, how many years remaining on the lease?

Renewal option term length, if available

Current average monthly payments to the landlord (include all expenses besides rent)

How many years is this pharmacy in business?

How many years under current ownership?

Number of pharmacists

Days and hours of operation

Average daily number of scripts filled

Number of scripts filled a year ago

Reasons for increase or decline

Approximate current gross sales

Gross sales a year ago

Approximate proportion of Rx to OTC

Approximate volume of inventory

Reasons for contemplated sale

Desired timing of sale

Other information about the store of interest to potential buyers

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