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. As an alternative we offer a PDF version of the account application which may be faxed or emailed.

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:

Business License #
DUNS #
or Federal Tax ID #:

If you are purchasing a regulated item, you will be asked to provide a second form of identification which could include: Federal tax ID#; Seller's (Wholesale) Permit ID #; City or County Business License #; California Department of Health Services License; DEA Number; California Chemical Precursor Business Permit #; Valid state driver's license or other official photo ID.
To submit these documents you may either upload these documents below and the documents will be attached to your application, OR attach them to an email and send it to WebSupport@SpectrumRX.com with Application ID# OR fax the information along with your Application ID# to 800.525.2299.

Upload your scanned document now:

Phone:

Fax:

Website:

Email:
This will be your Username

Confirm Email

Method of Payment

Credit Card

Apply for Credit Terms

Credit Terms Application (PDF)

Billing Information

Country:

A/P First Name:

A/P Last Name:

Email Address:

Company:

Address 1:

Address 2:

City:

State/Province:

ZIP:

Electronic Invoice

Shipping Information

Same as Billing Information

Spectrum will not ship to residential addresses or postal centers.

Country:

First Name:

Last Name:

Email Address:

Company:

Address 1:

Address 2:

City:

State/Province:

ZIP:

I have read and accept Spectrum's Privacy Policy

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