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Attention Healthcare Providers,

We provide discounted pricing to healthcare providers who are validated by our merchant ordering and authentication system. Please fill out the form below to set-up your merchant account.

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Upload your professional license, certification, and/or re-seller's license below. Please note that we are required to collect sales tax on orders in Michigan for those without a re-seller's license. For those in Michigan please include your re-seller's license so that sales tax can be waived for wholesale orders.
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Max. file size: 1,000 MB.
    Please attach your sales tax exemption certificate if applicable. Please note that if you do not include a sales tax exemption certificate, you will be charged sales tax on all orders shipping to California.
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    Accepted file types: pdf, jpg, png, jpeg, Max. file size: 1,000 MB.
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