Document Upload

Instructions: Please complete the fields below to Log In. Input your license number exactly as it appears on the Verification Page. To retrieve your security code, use the link below.

Examples

License Type Description
Pharmacist 8 numerical digits, beginning with 03
Pharmacy Intern 8 or 9 numerical digits, beginning with 06
Pharmacy Technician 8 numerical digits, beginning with 09
Terminal Distributor 9 or 10 numerical digits, beginning with 02
Drug Distributor 9 or 10 numerical digits, beginning with 01 (includes the following license types: manufacturer of dangerous drugs, outsourcing facility, third-party logistics provider, repackager of dangerous drugs and wholesale distributor of dangerous drugs, brokers and virtual wholesalers).
Home Medical Equipment License – begins with HMEL. followed by 5 numerical digits. *Include the “.” Registration – begins with HMER. followed by 5 numerical digit. *Include the “.” and accreditation abbreviation.

License Number 
Security Code
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