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Date & Time: Tuesday, March 4th | 9:00am - 4:00pm
Location: Marriott Indianapolis North | 3645 River Crossing Parkway
Extras: Complimentary 4.0-hour CE opportunity with breakfast, lunch, and afternoon snacks provided. Free parking, raffles, and door prizes!

First Name*

Last Name*

Requesting CEU Certificate*

State *

Job Title*

Business Email*

Company name*

Phone Number*

Interested in learning more about IDD pharmacy services?*

Who is your current pharmacy provider?*

What is your current pharmacy provider satisfaction level? (1 to 10)*

How many individuals are served by your current pharmacy or pharmacies?

Does your agency use an eMAR?*

Are you considering implementing or changing eMARs?*