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The NPA advised about 6,000 members in England to start "working to rule" from this date.

But he stressed not every community pharmacy was an NPA member and it was up to each one to decide if they would reduce services.

The NPA has previously urged patients to avoid buying weight loss injections from unregulated online sellers, who may be selling fake drugs.

NPA chairman Nick Kaye said the ballot result "overwhelmingly shows the sheer anger and frustration of pharmacy owners at a decade of cuts that is forcing dedicated health professionals to shut their doors for good".

The NPA, which represents about half UK community pharmacies, some 6,000, says 1,500 have closed since 2016 because of workloads and budget cuts.