Company Registration

Account Information

Thank you for choosing Spectrum. Please complete the below application to gain access to our secure online website. You will be required to submit a copy of your current State Board of Pharmacy License and your Sales Tax Resale Certificate.

First Name:

Please enter less than or equal to 30 characters

Last Name:

Please enter less than or equal to 30 characters

Job Title:

Company:

Industry:

Pharmacy License Number:

In order to purchase from our pharmacy website, you must hold a current State Board of Pharmacy license. Please upload a copy of this active license below along with your Sales Tax Resale Certificate.

Upload your scanned document now:

Phone:

Fax:

Website:

Email:

This will be your Username

Confirm Email

Pre-Payment via credit card is required to fulfill new orders

Credit Card

Billing Information

A/P First Name:

A/P Last Name:

Email Address:

Company:

Country

Address 1:

Address 2:

City:

State/Province:

Zip:

I confirm that the registered address is a business address.

Please check this box if you require an electronic invoice

Shipping Information

Same as Billing Information

Spectrum will not ship to residential addresses or postal centers.

First Name:

Last Name:

Email Address:

Company:

Country:

Address 1:

Address 2:

City:

State/Province:

ZIP:

I confirm that the registered address is a business address.

I have read and accept Spectrum's Privacy Policy

We respect your privacy and do not sell your information. View our Privacy Policy

Please select privacy policy check box to activate Submit button.