Store Name (*)
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Owner's First Name (*)
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Owner's Last Name (*)
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Store Address (*)
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Phone Number
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Home Phone Number
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Cell Phone Number
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Email Address (*)
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NCPA Membership Number (if applicable)
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Type of Location
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State Location (*)
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Competitors (how many and what kind, chains, independents, distance from store)
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Store Hours
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Store Size, Selling Area, Storage Areas
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Staff (pharmacists, technicians, other, any specialty personnel (surgical fitters, etc.))
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Premises (owned or leased, if leased, remaining term in years, base monthly rental, additional rent, taxes, etc., renewal options if any)
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Sales Volume for the past three years, gross and net margins if available
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Prescription Volume (daily Rx count - weekdays and weekends, Rx breakdown, third party vs. cash)
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Sales Mix (Rx vs. OTC, any special categories, surgicals, cards and gifts, etc.
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Value of Inventory
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Date of most recent physical inventory taken
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Reason for proposed sale
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Desired Timing
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Best Method and Location for Contacting You
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(*)
