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The call center company later changed its name to e – Telecare Global Soltions in 2004. Before taking any exams essental to their state, they need to pass the Foreign Pharmacy Graduate Equivalency examination (FPGEE), Test of English like a Foreign Language (TOEFL) and Test of Spoken English (TSE) exams. Strong customer support skills really are a must when handling the hectic pace of an pharmacy or pharmaceutical department.