The call center company later changed its name to e - Telecare Global Soltions in 2004. Before taking any exams necessary for their state, they have to pass the Foreign Pharmacy Graduate Equivalency examination (FPGEE), Test of English like a Foreign Language (TOEFL) and Test of Spoken English (TSE) exams. The massive boost in people using the web for many of their shopping and daily needs has led to many pharmacies having a web site built, where they provide numerous services which can assist you avoid making unnecessary trips to your neighborhood pharmacy.