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www.mergecentra.pharmapro.app Open in urlscan Pro
199.195.144.156  Public Scan

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URL: https://www.mergecentra.pharmapro.app/
Submission: On July 01 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST https://www.mergecentra.pharmapro.app/postlogin

<form method="POST" id="login_form" action="https://www.mergecentra.pharmapro.app/postlogin" novalidate="novalidate">
  <input type="hidden" name="_token" value="tbETnNTjU0NCRyXUYLLcrtAWKPTyTT0djCn5C1Dj">
  <div class="form-group has-feedback">
    <input type="email" class="form-control" placeholder="Email" id="email" name="email" value="" required="" autofocus="">
    <span class="glyphicon glyphicon-envelope form-control-feedback"></span>
  </div>
  <div class="form-group has-feedback">
    <input type="password" class="form-control" placeholder="Password" id="password" name="password" required="">
    <span class="glyphicon glyphicon-lock form-control-feedback"></span>
  </div>
  <div class="row">
    <!--                <div class="col-xs-8">
                                        <div class="checkbox">
                                            <label>
                                                <input type="checkbox" name="remember"> Remember Me
                                            </label>
                                        </div>
                                        <div class="checkbox">
                        <span style="float: left;"><a href="https://www.mergecentra.pharmapro.app/password/reset">Forgot your password?</a></span>
                    </div>
                                    </div>-->
    <div class="col-xs-12 text-center">
      <button type="submit" class="btn btn-primary btn-submit">Sign In</button>
    </div>
  </div>
</form>

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