The answering services company company later changed its name to e - Telecare Global Soltions in 2004. Before taking any exams necessary for their state, they should 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 your pharmacy or pharmaceutical department.