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Customer Center Registration Form - McKesson

Customer Center Registration form McKesson Specialty Health 401 Mason Road, La Vergne, TN 37086 To a ccess the McKesson Specialty Health Customer Center fo r online pharmaceutical orderi ng and r eport ing, please fill out t he following Registration fo rm and r eturn b y fax to A McKesson Specialty Health credentialing specialist will b e in touch with you short ly to confirm your account. Practic e Information Primary Account Number Affiliated MSH Accounts Practice Name Address City State ZIP Code Telephone Fax Primary Conta ct (This user is authorized to a dd a nd/or r emove users f rom the online a ccount) Name Title Email Telephone Authorized Account(s) User Privileges Add Rem ove Order Center Financial Tools Authorized Users Name Title Email Telephone Authorized Account(s) User Privileges Add

Customer Center Registration Form . McKesson Specialty Health . 401 Mason Road, La Vergne, TN 37086 . mscs.mckesson.com . To access the McKesson Specialty Health Customer Center for online pharmaceutical ordering and reporting, please

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