MyMedSource.com - Contact Page

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Dear valued customer,

We are pleased to unveil our much anticipated NEW website. It is currently in its beta stage and we will be working out some bugs. Please let us know if during your visit you come across any issues that should be addressed.

In order to expedite getting you set up on our new improved website, we must ask you to take a few moments to complete the information below. Please make sure that your e-mail spam protection is setup to allow sales@mymedsource.com and info@mymedsource.com to pass thru.

When you press the “send” button, your information will be forwarded to our customer service department. You will receive your new MyMedSource Website Username and Password within 72 hours.

At MyMedSource, we always appreciate your business.

Very sincerely,
Janna Stanford
President

New to MyMedSource?

If your company is not registered with MyMedSource
please fax or email a copy of the company business license,
health department permit or board license to expedite
getting your account established. Requests that are not accompanied
with this documentation normally take longer than 72 hours
to receive a user name and password.
Email: info@mymedsource.com
Fax: 888-755-9371

Your name: * Please enter your first and last name.
Your email: * Please enter your email address.
Owner or officer of company's email: Please enter an email address for owner or officer of your company (a valid general email for the company is also acceptable; ie: info@yourcompanyname.com).
Company name: * Please enter your company name.
Your position: * Your position within the company.
Company address: * Please enter the complete company street address.
Phone: * Please enter the company phone number.
Fax: Please enter the company fax number.
Website: Please enter the company website.

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