Please enter your information below to be added to the UNAC/UHCP email list for the KP Southern California Pharmacists. By giving us your mobile phone number, you agree to receive texts or calls from UNAC/UHCP at this number.

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* 1. First Name

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* 2. Last Name

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* 3. Personal Email Address

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* 4. Mobile Phone Number

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* 5. Medical Center

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* 6. Pharmacy Location

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* 7. What type of pharmacist employee are you with Kaiser?

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* 8. Address

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* 9. City

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* 10. Zip Code

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