AYUSH & Pharmacy Merchant Application

Open Your Licensed Online Dispensary

Join India's dedicated clinical healthcare network. Direct society delivery, patient CRM, and WhatsApp catalog integration.

1 Store & Location Details

Dispensary / Pharmacy Store Name *

Choose Your Dispensary Sub-domain URL * Complimentary SSL Storefront

https:// .healthways.store

This will be your official online store address. Auto-filled from your store name, or customize it as desired.

Select State / UT *

City / District *

2 Merchant Owner & Sign-In Details

Primary Owner / Vaidya / Pharmacist Full Name *

Business Email (Login Username) *

WhatsApp / Contact Mobile *

+91

Create Password *

Confirm Password *

3 Mandatory Identity (PAN & Aadhaar) & Licenses

PAN Card Number * 10-character alphanumeric PAN of business/proprietor

Aadhaar Card Number * 12-digit UIDAI number for identity verification

Drug / AYUSH License No. (Optional)

GSTIN (Optional)

4 Select Merchant Dispensary Plan *

Recommended Launch

Free for 1 Year

₹0 / First 365 Days

Storefront & Public URL (/store/slug)
100% Patient CRM Data Isolation
Product Catalog & Local Delivery
Verified AYUSH Dispensary Badge

Gold Verified Tier

Premium as Paid*

₹4,999 / Year

Everything in Free 1-Year Plan
Custom CNAME / Subdomain Mapping
Priority Placement in Marketplace Search
Dedicated Pharmacist Hotline & Support

5 KYC & Supporting Document Attachments

Mandatory: Seller's PAN Card or Aadhaar Card Copy * PDF, JPG, PNG (Max 5MB)

Upload a clear scan or photograph of the proprietor's or registered business entity's PAN or Aadhaar card for Super Admin verification.

Optional: Drug License / AYUSH Certificate / GST Document Optional (PDF, JPG, PNG)

Attach your official Drug License, AYUSH Manufacturing/Retail permit, or GST Certificate to fast-track approval.

Mandatory Legal Declaration & Acceptance *

I hereby solemnly declare and verify that all information, business credentials, PAN & Aadhaar numbers, and document attachments submitted in this onboarding form are true, authentic, and lawfully owned by the undersigned. I acknowledge that store publishing access is strictly subject to Super Admin compliance review and approval. Any misrepresentation or submission of forged documents shall result in immediate rejection, permanent debarment, and legal reporting under the Drugs and Cosmetics Act 1940 and applicable Indian laws.

Upon submission, an automated verification dossier is dispatched to Super Admin at mumbaiihpl@gmail.com and a confirmation receipt is sent to your registered email.

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