Pharmacy Registration — PharmaBridge

1 Business

2 Address

3 Documents

4 Responsible

5 Review

Business Details

Enter the registered details of your pharmacy as per SAPC and CIPC records.

Registered Name *

Trading Name (if different)

SAPC License Number *

SAPC-

CIPC Registration Number *

Tax Reference Number (optional)

VAT Number (optional)

Step 1 of 5

Address & Contact Information

Enter the pharmacy's physical location and contact details.

Physical Address

Search Address * (Start typing to search)

📍 Select from suggestions to auto-fill address fields below

Street Address *

Suburb (optional)

City *

Province *

Postal Code *

Postal address is the same as physical address

Postal Address

Postal Street / PO Box

Postal City

Postal Province

Contact Details

Phone Number *

Pharmacy Email *

Website (optional)

Step 2 of 5

Certifications & Documents

Upload the required documents. PDF format preferred, max 5MB per file.

0 / 4 uploaded

CIPC Registration Certificate *

📎

Click or drag to upload

Required — company registration document from CIPC

PDF, JPG, PNG · max 5MB

✅ — Change

SAPC Pharmacy License *

📎

Click or drag to upload

Required — current SAPC pharmacy license

PDF, JPG, PNG · max 5MB

✅ — Change

Good Pharmacy Practice (GPP) Certificate *

📎

Click or drag to upload

Required — valid GPP certificate

PDF, JPG, PNG · max 5MB

✅ — Change

Responsible Person ID Document *

📎

Click or drag to upload

Required — SA ID or passport of the responsible pharmacist

PDF, JPG, PNG · max 5MB

✅ — Change

Tax Clearance Certificate

📎

Click or drag to upload

Optional but recommended

PDF, JPG, PNG · max 5MB

✅ — Change

Dispensing License

📎

Click or drag to upload

Optional — if applicable

PDF, JPG, PNG · max 5MB

✅ — Change

Step 3 of 5

Responsible Person Details

The designated responsible pharmacist as registered with SAPC.

ℹ️ The responsible person must hold a valid SAPC registration. Format: P-XXXXXX

Full Name *

P-Number *

P-

SA ID Number * (13 digits)

Qualification (optional)

Contact Phone *

Contact Email *

Your Details (Submitting Representative)

Submitting Representative details same as Responsible Person above

Your Full Name *

Your Email *

Your Phone (optional)

Your Position / Title (optional)

Step 4 of 5

Review & Submit

Please review all information before submitting your application.

Business Details

Registered Name—

Trading Name—

SAPC License—

CIPC Number—

Address & Contact

Physical Address—

City / Province—

Phone—

Email—

Uploaded Documents

Review Documents:

No documents uploaded yet. Go back to Step 3 to upload.

Responsible Person

Full Name—

P-Number—

ID Number—

Email—

Submitting Representative

Name—

Email—

I confirm that all information provided is accurate and complete. I understand that providing false information may result in rejection of this application.

Step 5 of 5

🎉

Registration Submitted Successfully!

PB-2026-XXXXX

Your pharmacy registration is now pending verification. Our team will review your documents and contact you within 2–3 business days.

A confirmation email has been sent to your email address.

← Return to PharmaBridge

Business Details

Address & Contact Information

Physical Address

Postal Address

Contact Details

Certifications & Documents

Responsible Person Details

Your Details (Submitting Representative)

Review & Submit

Business Details

Address & Contact

Uploaded Documents

Responsible Person

Submitting Representative

Registration Submitted Successfully!

Preview Document