Pharmaceutical Returns Service - Comprehensive, Cost Effective and Conscientious

New Customer Registration Form

Your Personal User Information

Your Email Address will also be your username for logging into the Customer Portal.

Location Information

If you have only one location, please enter your location information in the fields below. If you have multiple locations, please enter the primary location and you will be given an opportunity to add addtional locations after you have completed the initial registration process.
If you have multiple locations, the location label is an easy way to differientiant between then. If no Location Label is used, the location will be labelled using the Location's Address instead.

How would you like to provide a copy of your DEA Licence to PRS?