How to Enroll

Use our online enrollment form to begin the process.

Once completed, a customer service representative will be in contact with your pharmacy. For questions during enrollment, you may contact us at the toll free number (855) 489-3599
(8:30am - 5:30pm M-F CST).


Enroll Now

Click here to continue an enrollment you already started.


Completed and signed documents can be returned here:

Address:
P.O. Box 12730
Overland Park, KS 66282

Copyright 2019. Community Independent Pharmacy Network | All Rights Reserved.

Home | About | Services | Contact | FAQ | Enroll | Admin