Committee Interest Please review the committee charges here. Deadline to submit is Friday, April 28, 2023. Committee Interest Name* First Last Email* Phone Number* Member Category* Pharmacist New Practitioner Technician Student Retired Your VPhA Local Association* Central Virginia Chesapeake Fourth District Lonesome Pine Lynchburg Northern Virginia Old Belt Peninsula Potomac Rappahannock Richmond Roanoke Valley Southside Southwest Tidewater Tri-County Valley Practice Site Name* Practice Type* Academia Chain Independent Community Supermarket/Mass Merchandiser Nursing Home/LTC Clinic Hospital Outpatient Hospital Inpatient Home Health Mail Service Wholesaler/MFR Committee You Wish To Volunteer On* Comments/Feedback* Δ
