Apply for a Pharmaco Dental Account

Simplify your ordering process with flexible payment options and dedicated support.

Having an account with Pharmaco Dental means easier ordering, transparent pricing, and personalised service. Whether you’re a dental practice owner, manager, or clinician, our team makes it simple to access the products you trust — backed by Pharmaco’s commitment to care and quality.

Apply for a Credit Account

Need help? Call us on 1800 651 788 (Australia freephone).

First Name *

Last Name

Email Address *

Phone Number

Date of Birth *

Business (Owner)

Licence No. (AHPRA) *

State & Territory

Registered Name

ABN

Business Contact Person *

Business Contact Number

Business Email Address *

Email for Accounts

Business Postal Address

Business Delivery Address

Special Instructions for Delivery

No. Of Years Trading

Solicitors

Accountants

Paid Up Capital

Geographical Area of Trading

Estimated Monthly Purchases

Reference 1 - Company Name *

Please give the contact details of two suppliers you make regular purchases from, so that we may contact their accounts dept. for credit references for your business.

Reference 1 - Phone Number *

Reference 1 - Your Customer Account No.

Reference 2 - Company Name *

Please give the contact details of two suppliers you make regular purchases from, so that we may contact their accounts dept. for credit references for your business.

Reference 2 - Phone Number *

Reference 2 - Your Customer Account No.

Have you previously purchased from Pharmaco (Australia) Ltd?

Yes

Previous Account No. If Known

If yes, please provide previous account details or the last name on the account

Account Name/Last Name

If yes, please provide previous account details or the last name on the account

Would you like to receive promotional emails and updates from Pharmaco (AU) Ltd, including price list and special offers? *

Yes - I agree to receive promotional communications via email

No - I do not wish to recieve promotional emails

I acknowledge that the information provided is true and correct and that I have read and accept the attached terms and conditions of sale *

Submit

Already registered with Pharmaco Dental?

If your practice already holds an approved account, you can log in below to view your balance, invoices, and product pricing.

Not sure which account type suits your practice?

Talk to our team - request a call back from one of our representatives and we'll help find the right solution.

Contact Us

Apply for a Pharmaco Dental Account

Simplify your ordering process with flexible payment options and dedicated support.

Apply for a Credit Account

Thank you

Already registered with Pharmaco Dental?

Not sure which account type suits your practice?