MedMax RX Application

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The application process with MedMax RX is extremely simple. Download our PDF file application by clicking the link to the right and either fill it out manually and fax to our facility, or just fill it in electronically and submit via email. Either way, include a copy of your State licenses or DEA if applicable. If you are ordering OTC products or supply items please submit a copy of your Tax ID form.

We are here to help you along the way, give us a call or submit any questions you have via email and we will respond promptly.

Please allow 24 business hours for full processing of the application.

How to submit.

MedMax RX Fax

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Please submit faxes to:


MedMax RX Email

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