• 4951 E. Adamo Dr, Ste 110, Tampa, FL, US
  • Mon - Fri 8.00 - 4.00pm
  • (813) 406-4491
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New Clinic Signup

Sign up to become a PharmXpress Pharmacy provider, and begin filling your patient's prescriptions by mail to your clinic or directly to their home. After your application has been accepted by a member of our team, you will be able to prescribe from our portal.

3 Quick Steps to Start Prescribing:

  1. Fill out the "New Clinic Inquiry Form" located below.
  2. After you submit it, you will be able to add clinic providers at your clinic who will need to prescribe.
  3. We offer four convenient billing options, Prepay by wire, pay via a GPO, Bill Clinic, and Bill Patient at the time of order submission.

Get Started!

Step 1: Please tell us about yourself and your clinic.
Clinic Contact First *
Clinic Contact Last
Role at Clinic
Password
Clinic Name
Clinic Website Address
Patients per Month
Phone Number
Fax Number
SMS Consent - I consent to receive SMS text messages from PharmXpress Pharmacy. Msg & and data rates may apply. Reply STOP to opt out. By submitting this form and providing your phone number, you give PharmXpress Pharmacy permission to text you with important updates or details. If you do not wish to receive SMS campaigns or messages from PharmXpress Pharmacy, please do not submit this form.
Street Address
Street Address 2
City
State
Zip Code
Billing Preference
Clinic Specialties
* As a 503a pharmacy, PharmXpress Pharmacy only fills patient specific prescriptions and does not dispense in-office stock. ** If you require product from a 503b please contact us to purchase from our partner 503b.