Register | Melbourne Brands

Registration Form

All fields except name are required.

Pharmacy Information

Pharmacy name *

Legal entity name *

ABN / ACN * 11-digit Australian Business Number

Australian Business Number (ABN) *

Australian Company Number (ACN) *

Trading Name

Registered Business Name *

Date Business Registered

Business Structure *

Phone number *

Registered premises address *

Postal address Leave blank if same as premises

Email address *

Password *

Pharmacy Business Licence

Pharmacist-in-charge *

AHPRA number *

Authorised orderer *

Authorised Receivers

Account Contact

Recall contact *

Submitted securely via 256-bit SSL encryption

Application Checklist

Form Completion 0%

Business Name & ABN

Registered Address

AHPRA Number

Pharmacist-In-Charge

Declaration Accepted

What Happens Next

Approved Within 1–2 Business Days

Submit Form With Required Documents

Team Verifies Your AHPRA & ABN Records

Approval Email With Login Credentials Sent

Start Ordering Via The Pharmacy Portal

Need Help?

Suite 297, 139 Cardigan Street Carlton VIC 3053 Australia

sheena@melbournebrands.com.au

+61 3 7073 2748

Mon–Fri, 9am–5pm AEST

Quick Links

Services

Contact Us

Suite 297, 139 Cardigan St Carlton Victoria 3053 Australia
arnel@melbourne-brands.devwap.com
sheena@melbourne-brands.devwap.com.au
+61 3 7073 2748
+61 420 138 878
+61 485 881 484

Apply for an Account

Access wholesale pricing, product ordering, invoices and account support.

Open a Wholesale Account