South Africa’s Leading Pharmaceutical

Wholesaler and Distributor.

+27 (021) 929 2120 WC

+27 (012) 377 9000 GP

Customer Account Application

Becoming a Transpharm customer is easy. Simply download and fill out the application form to apply.

This form must be completed in full and returned to:

Ensure that all the required documentation is attached to your application.

If you have any queries contact our support centres at 021 929 2120 (WC) or 012 377 9000 (GP).

The following documents must accompany ALL applications:

  • Clear copy of ID Document of the owner;
  • Proof of banking details if the 30 day account block is chosen on the application form;
  • If it is a cc/Pty Ltd, the company registration documents must be attached; and
  • The proof of delivery address for example a copy of the lease agreement, a delivery invoice or a municipal account.

Additional documents required for:

All the practitioners that are registered at the HPCSA

  • Practitioners Council Registration documents as it appears at the HPCSA & the registration number must be filled in on the application form.

Pharmacy Account

  • Pharmacy Council Registration documents as it appears at The South African Pharmacy Council & the registration number must be filled in on the application form.

General Companies

  • General Companies should submit their company registration documents as it appears at the CIPC & the registeration number must be filled in on the application form.

Sisters/Nurses

  • The sisters/nurses need to submit their Nurses registration documents as it appears at the Nursing Council & the registration number must be filled in on the application form; and
  • If the sister/nurse is in possession of a permit, all the documents received from the Department of Health must be sent with the application form.

Veterinarians

  • South African Veterinarian Council  registration documents as it appears at the Veterinarian Council & the registration number must be filled in on the application form; and
  • Veterinarian Facility Registration documents as it appears at the Veterinarian Council & the registration number must be filled in on the application form. 
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