Formular zur Auflistung rezeptfreier Arzneimittel

Etikettierer

Labeler Name

Labeler DUNS Number (Required, if DUNS Number Request Service need, please purchase and fill out the DUNS Number request form.)

Name of Contact Person

Phone Number

Bitte kreuzen Sie das für Sie zutreffende Kästchen an * Pflichtfeld

Eigenmarkenhersteller

Private Label Distributor (PLD)

Auftragshersteller

API-Hersteller

Packer

Etikettierer

Umetikettierer

Umpacker

Umfüller

Manufacturer Name

Manufacturer DUNS Number

Prioprietary Name (Brand Name)

Intended Use of the Drug

Inner Package

Outer Package

Labeler Code (10 Digits)

Upload File

Upload supported file (Max 15MB)

Upload File

Upload supported file (Max 15MB)

Ingredients List File 1

Upload File

Upload supported file (Max 15MB)

Ingredients List File 2

Upload File

Upload supported file (Max 15MB)

Wenn Sie weitere Produkte haben, senden Sie die Informationen bitte an ask@provisionfda.com

Submitter Name

Submitter Job Title

Submitter Email

Thanks for submitting!

13925 City Center Dr. Suite 200, Chino Hills, CA 91709 | Telefon: +1-909-493-3276 (Büro) | E-Mail: ask@provisionfda.com

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