Register - Lake Elmo Compounding Pharmacy

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Compounding
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Contact
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Prescriber Login

Prescriber Login

About
Compounding
Testimonials
Contact
Request Custom Quote

About
Compounding
Testimonials
Contact
Request Custom Quote

Prescriber Login

Prescriber Login

About
Compounding
Testimonials
Contact
Request Custom Quote

Register

Please select your area of practice below, then fill out the form.

Once submitted, we will review your account and notify you if you have been approved/denied access.

Human Prescriber

Veterinarian

Human Prescriber

1Business Information

2Location Information

3Contact Information

Legal Name of Business *

Name of Clinic

Owner's Name *

First

Last

Billing Address

Address *

Address 2

City *

State *

Zip *

Country *

Shipping Address

Address *

Address 2

City *

State *

Zip *

Country *

Prescriber's Name *

First

Last

License Number *

DEA Number *

What compounded medications are you interested in? *

Email *

Username *

Password *

Veterinarian

1Business Information

2Location Information

3Contact Information

Legal Name of Business *

Name of Clinic

Owner's Name *

First

Last

Billing Address

Address *

Address 2

City *

State *

Zip *

Country *

Shipping Address

Address *

Address 2

City *

State *

Zip *

Country *

Prescriber's Name *

First

Last

License Number *

DEA Number *

What compounded medications are you interested in? *

Email *

Username *

Password *

Address

1715 Tower Dr W.
Stillwater, MN 55082

Phone/Fax

651.773.0701 Phone
651.888.2369 Fax

Hours

M - F: 8:30AM to 5:00PM
Closed 12:30PM to 1:00PM for Lunch

A prescription from a licensed practitioner is required for compounded medications.

Specialties

Hormone Therapy for Men
Hormone Therapy for Women
Pain Management
Pediatrics
Veterinary

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