Canister Center - Online Account Registration

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Please fill this form out in its entirety to setup your online account with the AutoMed Canister Center. An e-mail confirming your registration will be sent within 24-48 hours after submission.

Step 1 of 2 . . .

Register company information and choose your AutoMed device(s)
 

   * = Required

*

 

Name of Organization       
*
Pharmacy Manager           
 
*
 Primary Contact                 

  Enter your AutoMed customer number
  Your customer number will serve as the   Username for your account

*
 Customer Number

  Login instructions will be sent to this e-mail
*
 E-mail Address                   
 
*
 Repeat E-mail Address                   
 
*
 Address 1                            

 
Address 2                        
 
*
 City                                     
 
*
 State                                  
 
*
 Zip                                      
   Enter number in this format:
             XXXXXXXXXX
*
 Telephone Number                            
    Extension

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Vial Filling

  

FastFill® 200




FastFill® 64

QuickFill®

QuickFill® Plus


Compliance Packaging


FastPak™ EXP


FastPak™ 71


FastPak™ 240

FastPak™ 330


FastPak™ 520



Central Fill / Mail Order

OptiFill®


OptiFill® II


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