colt-pharma.jp
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112.78.125.108
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URL:
https://colt-pharma.jp/
Submission: On August 29 via api from US — Scanned from JP
Submission: On August 29 via api from US — Scanned from JP
Form analysis 1 forms found in the DOM
<form id="contactForm" data-sb-form-api-token="API_TOKEN">
<div class="row align-items-stretch mb-5">
<div class="col-md-6">
<div class="form-group">
<!-- Name input-->
<input class="form-control" id="name" type="text" placeholder="Your Name *" data-sb-validations="required" data-sb-can-submit="no">
<div class="invalid-feedback" data-sb-feedback="name:required">A name is required.</div>
</div>
<div class="form-group">
<!-- Email address input-->
<input class="form-control" id="email" type="email" placeholder="Your Email *" data-sb-validations="required,email" data-sb-can-submit="no">
<div class="invalid-feedback" data-sb-feedback="email:required">An email is required.</div>
<div class="invalid-feedback" data-sb-feedback="email:email">Email is not valid.</div>
</div>
<div class="form-group mb-md-0">
<!-- Phone number input-->
<input class="form-control" id="phone" type="tel" placeholder="Company Name *" data-sb-validations="required" data-sb-can-submit="no">
<div class="invalid-feedback" data-sb-feedback="phone:required">A Company Name is required.</div>
</div>
</div>
<div class="col-md-6">
<div class="form-group form-group-textarea mb-md-0">
<!-- Message input-->
<textarea class="form-control" id="message" placeholder="Your Message *" data-sb-validations="required" data-sb-can-submit="no"></textarea>
<div class="invalid-feedback" data-sb-feedback="message:required">A message is required.</div>
</div>
</div>
</div>
<!-- Submit success message-->
<!---->
<!-- This is what your users will see when the form-->
<!-- has successfully submitted-->
<div class="d-none" id="submitSuccessMessage">
<div class="text-center text-white mb-3">
<div class="fw-bolder">Form submission successful!</div> To activate this form, sign up at <br>
<a href="https://startbootstrap.com/solution/contact-forms">https://startbootstrap.com/solution/contact-forms</a>
</div>
</div>
<!-- Submit error message-->
<!---->
<!-- This is what your users will see when there is-->
<!-- an error submitting the form-->
<div class="d-none" id="submitErrorMessage">
<div class="text-center text-danger mb-3">Error sending message!</div>
</div>
<!-- Submit Button-->
<div class="text-center"><button class="btn btn-primary btn-xl text-uppercase disabled" id="submitButton" type="submit">Send Message</button></div>
</form>Text Content
Menu * Home * Company * Message * Product * Inquiry * JP This is a new option for pharmaceutical supplles from Japan. COMPANY COLT PHARMA GMBH 9-7-101 Mikage Higashinada-ku, Kobe-shi, Hyogo-ken 658-0047 Japan TEL +81-78-841-6111 FAX +81-78-841-6123 MESSAGE COLT PHARMA AIMS TO IMPROVE THE QUALITY OF LIFE OF THE IRANIAN PEOPLE THROUGH MEDICINES. HIGH-QUALITY JAPANESE PHARMACEUTICALS TO IRAN. WE PROMISE STABLE SUPPLY THROUGH MANUFACTURING IN JAPAN. PRODUCT Valsartan/Amlodipine Besilate Category Name Selective AT1 receptor blocker/Sustained Ca antagonist fixed-dose combination Form Tablets / Orally disintegrating tablets Valsartan/ Hydrochlorothiazide Category Name Selective AT1 receptor blocker/Diuretic fixed dose combination Form Tablets Amoxicillin Hydrate Category Name Synthetic penicillin preparations Form Capsule Clarithromycin Category Name Macrolide antibiotic preparations Form Tablets Escitalopram Oxalate Category Name Selective serotonin reuptake inhibitor Form Tablets Pregabalin Category Name Pain treatments (Neuropathic pain and Fibromyalgia) Form Tablets Orally disintegrating tablets Famotidine Category Name H2-receptor antagonist Form Tablets Orally disintegrating tablets Montelukast　Sodium Category Name Leukotriene receptor antagonist Form Tablets Orally disintegrating tablets Dipyridamole Category Name Coronary circulation improver Form Aqueous injectable Cefazolin Sodium Category Name Synthetic cephalosporin antibiotics Form Powder injectable INQUIRY A name is required. An email is required. Email is not valid. A Company Name is required. A message is required. Form submission successful! To activate this form, sign up at https://startbootstrap.com/solution/contact-forms Error sending message! Send Message Copyright © Colt Pharma gmbh 2024