Form

July 17, 2025
New York LaGuardia Airport Marriott | 102-05 Ditmars Blvd, East Elmhurst, NY 11369

First Name*

Last Name*

Job Title

Email*

Type of CEU Certificate*

State *

Company Name*

Phone Number*

Interested in learning more about IDD pharmacy services?*

Who is your current pharmacy provider?*

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

Does your agency use an EMAR?*

Are you considering implementing or changing eMARs?*