New Customer Registration

To complete this form you will need general business information, DEA Registration and State License / Permit. (if applicable) You can upload your registration(s) and license(s) in this process.

1. Please provide your business and billing information on this page.

2. Please provide the DEA and State information on this page.

Upload supported file (Max 15MB)

Upload supported file (Max 15MB)

3. Enter Facility Specific Information

Thanks for taking the time to get us this information!

We will be working on getting your account set up. Please allow up to three days for us to complete the verification.

If you have questions please call or chat.

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Box & ship unused, expired, or partial controlled substances, non-controlled substances, listed chemicals, and compounds.