Portal RegistrationKevin Dostalek2019-06-24T08:26:00-05:00 Portal Registration Our online ordering system provides you with the ease and convenience of placing your orders anytime, any day, 24/7. Plus access key account information such as past orders and invoices and track-and-trace information for every product we stock. Need portal access? Please complete the form below and a member of our team will contact you to complete your registration. Your Name*Email* Phone Number*Pharmacy Name / Company*DEA NumberAddress Line 1*Address Line 2City*State*– Select State –AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip Code*Primary WholesalerBuying GroupDo you own or purchase for more than one store?YNLicense UploadUntitled