Account Registration

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Company Info

For all new clients that are interested in DYNALABS Services

Company Name *

At least one of the three Business License Information fields is required.

Business License Information (fill in all that apply, at least 1 is required):*

Pharmacy/Business License Number

Employer Identification Number [EIN] (9 digits)

National Association of Boards of Pharmacy Number [NABP #] (7 digits)

Address Line 1 *

Address Line 2 (Optional)

Address Line 3 (Optional)

Country *

Please specify the Country.

State / Province / Region *

Please specify the State/Province.

State / Province / Region

City *

Zip Code *

Company Website

Type of Business *

Please select your company business type.

Please specify the Other business type.

Medical Focus (Select all that apply) *

Antibiotics

Chelation

Chemotherapy

Erectile Dysfunction

Fertility

Hormone Therapy

Inhalation

Pain Management

Sports Medicine

Other

Please select at least one Medical Focus item. Please specify the other Medical Focus.

Product Type (Select all that apply) *

Sterile

Non-sterile

Raw Material

Other

Please select at least one Product. Please specify the other product type.

* Required Field

DYNALABS LLC is registered with the U.S. Food and Drug Administration (FDA), the DEA and Bureau of Narcotics and Dangerous Drugs, as well as ISO 17025 accredited. The products and services provided by DYNALABS are protected by U.S. Patent Nos. 7,197,405 and 7,660,678.

888-396-2522
itsupport@dynalabs.us
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