Drs4Drs

Federal regulations dictate that group purchasing organizations charge members a fee for access to negotiated/discounted pricing. This fee will be charged at the time of your first order; however, drs4drs issues a discount on the first order of any new member that covers the membership fee amount ($29.95).

The brief Membership Agreement provided here – also required by Federal regulations – simply outlines and discloses the purpose of the organization and the services provided in exchange for the Membership Fee.

Please review it, click “I ACCEPT”, then complete your profile and you’re off to EasyStreet™!

I ACCEPT

First Name:

Last Name:

Name of Medical Practice or Company:

Contact E-Mail:

Number of Physicians in Practice:

Create Password:

Confirm Password:

Primary Address for Practice or Practice Location One...

Address:

City:

State:

Zip:

Phone:

(10-digits, including area code, numbers only)

Fax:

When restricted items (needles, pharma products, injectibles, etc.) are sold, we are required by federal law to obtain a valid medical license number and DEA number for a physician specific to the address to which the items will be shipped. THIS INFORMATION IS SECURE AND PROTECTED!

Physician's Name:

State of Licensure:

Medical License Number:

DEA Number:

NPI Number:

Second Address for Practice or Practice Location Two, if applicable...