Kindly fill in, especially all the (required) spaces. Collection or Delivery (required to select) —Please choose an option—Patient will collect at Notwane PharmacyPlease send to delivery address Payment type (required to select) —Please choose an option—Patient will pay by cardPatient will pay by cashPatient will pay by EFT Patient's First Name (required) Patient's Surname (required) Patient Mobile number (required) Contact Email (required) Delivery address (required) Doctor's Name (required) Doctor's Telephone (required) Doctor's Email if available Subject Your Message Upload your prescription or product photo here Type in this code Notwane Pharmacy, Main Mall, Gaborone. Tel 3951853. Website: www.notwanepharmacy.com
