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compound.BUZZ - New Client Onboarding
SECTION 1 - Your Pharmacy
Legal business name
*
Brand name you go by
*
Website
*
Main business phone
*
Business address
*
EIN / Tax ID for text-message registration
*
Facility type
*
A
503A traditional
B
503B outsourcing
C
Both 503A and 503B
D
Hybrid retail plus compounding
Year founded
*
NPI number
*
State pharmacy license number
*
LegitScript Healthcare Certification status
*
A
Yes active and verified
B
In process
C
No not yet
D
Not sure what this is
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