TABLE OF CONTENTS

A. PROFILE

B. NOTARIZED AUTHORIZATION LETTER

C. USER ACCOUNT (E-Portal)

D. PROOF OF BUSINESS NAME

a. SEC Registration

b. Barangay Business Clearance

E. CREDENTIALS OF PHARMACIST

a. College Diploma

b. Board Certificate

c. PRC ID

d. Current PTR

e. Certificate of Attendance on Licensing of Establishment

F. RISK MANAGEMENT PLAN

G. LOCATION PLAN (Google Map with GPS Coordinates)

H. ORDER OF PAYMENT

I. PROOF OF PAYMENT
Dear Mr./Ms./Mrs. Darigold Pitas Esden

Your account has been successfully created. Please visit the E-Portal System (https://eportal.fda.gov.ph)
and log-in using the following information to activate your account:

USER: fdauser122021
PASSWORD: IXtkr84ex6eNo1Sy

Should you have any questions, suggestions or comments, you may email us at fdac@fda.gov.ph or call
+63 (02) 821-1159/821-1176/821-1177.

Payment of fees can be made at any BancNet Member Banks by visiting www.bancnetonline.com

Sincerely,

Public Assistance, Information and Receiving Center

Food and Drug Administration
Civic Drive, Filinvest City
Alabang, Muntinlupa Philippines

Food And Drug Action Center <fdac@fda.gov.ph> Aug

16

to me

Good Day!

Kindly check the link below for the ePortal video tutorial.

https://www.facebook.com/FDAPhilippines/videos/1145034135552639/

For your reference and guidance.

Food and Drug Action Center

Food and Drug Administration

Civic Drive, Filinvest City
Alabang, Muntinlupa PH
 Case Properties

Process License To Operate v2.0

Case Title 3000003628156- Initial: Divine Providence Infirmary and

Diagnostic Center- Drugstore

Case Number 362815

Case Status To do

Case Uid 4721234855b78c3fc2fa212076545415

Creator Darigold Pitas Esden

Create Date 2018-08-19 09:12:28

Last Update 2018-08-20 22:09:30

Current Task Properties

Task Payment

Current User

Task Delegate Date 2018-08-20 22:09:30

Task Init Date

Task Due Date 2018-08-21 17:00:00

Finish Date

Case Description