Click below for our New Account Application.

To Fax or email completed forms including DEA License Certificate & Medical License Certificate, please use the following contact information.

FAX # – 833.887.4969
Email – [email protected]

NEW ACCOUNT APPLICATION

COMPLETE REGISTRATION FORM

Medical Offices

FarmaKeio Outsourcing 503B Manufacturing Facility

Please click the button to the left to download our enrollment form to complete the account setup.

If you have any questions, please email us at [email protected] or call us at 1-817-203-8216