Pharmaceutical Credit Corporation Ž

*Password protected areas

Customer Information Form (Packing Slip)

PCC allows you to ship at your discretion by simply filling out the customer information sheet provided and using it as your packing slip. In addition we have provided controlled substance forms (41 form) for your scheduled drugs as well as pre-printed labels to ship your outdated. Join us today and begin to understand what "keeping it simple" really means by associating with the best in pharmaceutical returns. Please make sure to fill out the customer and wholesaler information.
Customer Name:
Address:
City/State/Zip:
Phone:
Email:
Contact Person:
DEA Number:
DEA Expiration Date:

Wholesaler Account Number:
Wholesaler Name:
Address:
City/State/Zip:

		Getting Started \| Related Resources \| Contact Us \| Home
		For more information, please call 800-487-4308 or 615-373-4262 Š 2000 Pharmaceutical Credit Corporation Ž