844.4.IMMYRX (844.446.6979) CUSTOMER SIGNUP Customer Signup Form Let's get you started so your organization can start ordering. Customer Type This wizard will take you through the process of creating an account in our system so you can order from us. If you are already a customer with ImprimisRx Pharmacy, please follow the instructions located in the email you received in order to access your account. Let's get started! Do you have... A single billing address and one or more ship-to addresses? Most customers will choose this option. If you need to add an additional billing account, you can add it later Multiple billing and ship-to addresses? Choose this option if you will have certain users using different billing information than others. NEXT © 2020 Imprimis Pharmaceuticals, Inc. All Rights Reserved.   