*All fields required unless noted.
DEA Registration Address
Registered State Licenses & Registrations: (DVM, DEA, HCCE, etc.) *
Upload all relevant state-level licenses, including DVM, DEA Registration, and/or clinic licenses (e.g., HCCE). Each license must be valid and match the business address.
Please note:
Photo Documentation Quick Guide
The Code of Federal Regulations, 21CFR Part 1301.74(b) requires distributors of controlled substances to design and operate a system to identify suspicious orders. Suspicious orders may include those of unusual size, deviating substantially from a normal historical pattern, and/or orders of unusual frequency.