AbridgeRx Physician Create Account

Step 2

Create an Account

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Contact Information

First Name

Last Name

Credentials

Mobile Phone Number

Mobile number is used for two factor authentication

Email Address

Password

Practice Information

Practice Name

Practice Type

Practice Phone Number

Practice Address

City, State, Zip

DEA Registration Number

National Provider Identifier (NPI)

Please type your signature (for prescription fulfillment)

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