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HomeNew Account Registration

Save on Wholesale Pharmacy Supplies with Masters Pharmaceutical!

Fill out the registration form below and a dedicated account manager will contact you shortly to complete your application.
We only ship to US & Puerto Rico.

Are you a current Masters customer?

Name *

Business Name *

Email *

Phone Number *

Address *

City *

State

Zip Code *

What type of business are you?

Retail Pharmacy
Dr./Physician Office
Clinic
Hospital
LTC Facility
Other for OTC Only

Who is your primary vendor?

AmerisourceBergen
Cardinal
McKesson
Other

What products are you focused on?

Select all that apply

Brands
Generics
OTCs
Topicals
Diabetic Supplies
Other

How did you hear about Masters?

Phone Call
Word of Mouth
Search Engine
Online Ad
Tradeshow
RxInsider
Other

Have you spoken to a Masters Sales Rep? If so, what was their name?

(Optional)

Do you hold any State or Federal Licenses? *

A valid license is required to order from Masters Pharmaceutical.

If you are a new pharmacy awaiting licensing, please submit the form to speak to a representative about your situation.

Please select all that apply:

DEA#
STATE#
HIN#

DEA#

DEA#

Format: AA-9999999 (dash optional)

DEA # - Providing at later date

I will provide at a later date

State#

State#

Format: Alphanumeric (First 5 required then up to 18 characters)

State # - Providing at later date

I will provide at a later date

HIN#

HIN#

Format: Alphanumeric (up to 11 characters)

HIN # - Providing at later date

I will provide at a later date

Additional Info

Comment

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NABP Accredited Drug Distributor

Masters Pharmaceutical is a NABP Accredited Drug Distributor

Stay Up-to-Date with Masters! News, Specials, & Sales

Join Our Mailing List

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3600 Pharma Way, Mason, Ohio 45036
Info@MastersRx.com
800.982.7922
800.201.6610

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