Sponsor Name

Name of the organization that is sponsoring the study.

Note

Additional information.

Program

Name of the study.

Therapeutic area

Medical area that is being investigated by the study.

Address 1

Sponsor’s street address.

Address 2

Additional address information.

City

City.

State

State (United States).

Zip code

Zip code (United States).

Province

Province (outside the United States).

Postcode

Postcode (outside the United States).

Country

Country.

Phone

Telephone number.

Alt phone

Alternate telephone number.

Fax

Fax number.

Email address

Email address.