Complete to begin prescribing with Southend Pharmacy

Partner with Southend Pharmacy Today!

Southend Pharmacy is a 503A compound pharmacy dedicated to dispensing customized medications for individual patient need at the direction of the medical provider. Partner with Southend Pharmacy:

Healthcare Provider Onboarding

*** Please note that the individual filling out and signing this form must hold a valid medical license in each state in which you provide medical services, possesses the legal right to enter into a binding agreement, and accepts without limitation conducting this transaction electronically, disclaimers of warranties, damage and remedy exclusions and limitations arbitration and choice of Texas law. Such individual represents and warrants that he or she has the authority to enter into and bind the Provider to the Agreement terms.***

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Terms and Conditions, Credit Card Authorization & Recurring Payments

Here's How Recurring Payments Work:
You authorize Southend to charge to your credit card when you submit an order for a prescription product with us. You will be charged the Product Price plus all pass through shipping.

Recurring Credit Card Authorization
You may choose to have your prescription product orders automatically charged to your Visa, MasterCard, American Express, or Discover Card upon your submission of a prescription order to AP Max, Inc. d/b/a Southend Pharmacy ("Southend") in your LifeFile account.

You will have the opportunity to add your Credit Card information in LifeFile when you send your first prescription, after that we will have it saved in your billing profile.
Signature Required

With my signature above, I agree to the terms and conditions and pricing, and if applicable, credit card authorization

Start Prescribing with Southend

A Foundation built on clinical excellence, trust, and ambition. Partner with a pharmacy committed to precision, transparency, and supporting providers in delivering modern patient care.

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