Republic of the Philippines

Department of Health
Food And Drug Administration
Civic Drive, Filinvest Corporate City 
Alabang, Muntinlupa City

Order of Payment
General Information
Account Code: 3000004879021
Product Center: Drugs
Authorization: License To Operate
Type: Initial
Primary Activity: Drugstore
LTO No. (If applicable): Not Applicable
Expiry (If applicable): Not Applicable
 
Establishment Information
Company Name: M2N Pharmacy
Owner: Ma. Loraine A. Nuñez
Declared Capital: Not Applicable
Tikiw, San Antonio, Nueva Ecija, Central Luzon
Site Address (if applicable):
(Region III), 3108
Office Address (if applicable): Not Applicable
Plant Address (if applicable): Not Applicable
List of Warehouses (if applicable):
Address
  
Details of the Approving Authority
Fullname: Nuñez, Ma. Loraine Aguilar
Designation: Owner (for sole proprietorships)
Langla , Jaen, Nueva Ecija, Central Luzon (Region III),
Mailing Address:
3109
  
Details of the Qualified Personnel
Fullname Designation TIN Email Government ID
Professional
Sulit, Marry Regulatory
Company
Joyce 321-086-899 sulitmjoyce@gmail.com Commission: 0066086
Pharmacist
Mascareñas (1993-08-25)
(2021-08-25)
  
Payment Details
Application Fee: 2,000.00
Number of Years Applied: 2
Surcharge (if any): 0.00
Legal Research Fund (LRF): 20.00
Total Amount: Php 2,020.00
If payment is made using Bancnet Online Bills Payment Facility (www.bancnetonline.com), an
additional Php15.00 should be included to the amount due.

BancNet Payment: Php 2,035.00  

Remarks: Initial