phone (877) 278-2487
mail_outline info@sofyia.com
By completing this short registration you will be on your way to substantial medication purchase savings.
First name must be at least 3 characters
Last name must be at least 2 characters
Title must be at least 2 characters
Enter a valid email
Password must be 6-12 characters
Passwords do not match or password format is not accepted
Guest accounts are limited to 3 logins total and will be required to fill out banking information prior to activating the account.
Enter a pharmacy name
Enter a DBA name
Enter a 7 digit NCPDP number
Enter a 10 digit NPI number
FID must be 9 to 12 digits
Enter a pharmacy phone
Enter a pharmacy fax
Enter a valid pharmacy email
Enter an initial order amount
Enter years in business
Enter a pharmacy address
Enter a pharmacy city
Pharmacy state is requried
Enter a pharmacy zip
Enter a shipping address
Enter a shipping city
Shipping state is required
Enter a shipping zip
Enter a billing city
Billing state is required
Enter a billing zip
Name must be at least 3 characters
Enter a contact phone
Enter a contact fax
Enter a contact email
Must enter a 9 digit DEA number
Must enter DEA expiration date
Must enter State License number
Must enter State License expiration date
Enter state license name
*
Select ownership type
Enter owner
Enter %
Enter last 4
Enter controlling entity name
Enter applicant relation to entity
Enter phone
Enter entity address
Enter entity city
Entity state is required
Enter entity zip
Enter name
Enter account number
Enter contact name
Enter contact phone
Please finish filling out your bank information to complete registration.
Routing number is not valid
Account number is not valid
Bank name must be valid
Name is required
Phone is required
Email is required
Fax is required
Alternate contact is required
Enter guarantor address
Enter last 4 of social
Terms and Conditions