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Pharmacy Recognition Pack Mylan Pharmaceuticals is proud to be a sponsor of the 2005 Summer National Senior Games. As supporters of good health, we are anxious to "shake hands" with any pharmacist attending the Senior Games. While in Pittsburgh for the Games, come visit our booth located in the Peterson Events Center - near the registration area. Please fill out the information below to reserve your special Senior Olympics "Pharmacy Recognition Pack", which will be mailed to you in the very near future. * - Required Fields First Name * Last Name * Pharmacy Name * Pharmacy Address * City * State * Select One Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Zip Code *  +  (optional) Telephone Number *  -   -  Fax Number  -   -  Email Address * Let us know your role in the Senior Games. * Participant   Event   Friend or Family of Participant