The answering services company company later changed its name to e – Telecare Global Soltions in 2004. Before taking any exams required by their state, they must pass the Foreign Pharmacy Graduate Equivalency examination (FPGEE), Test of English as being a Foreign Language (TOEFL) and Test of Spoken English (TSE) exams. Strong customer service skills certainly are a must when handling the hectic pace of an pharmacy or pharmaceutical department.