EPCIS Data Sheet

We are engaging with our trade partners to establish secure, electronic connections to exchange serialized drug transaction information in compliance with the Drug Supply Chain Security Act (DSCSA).

Partner Type(Required)

Please enter your established Trade Partner entity name(Required)

Trade Partner AKA

If your entity is Also Known As another name

DSCSA EPCIS contact name for this Trade Partner

(this could be the name of Contact Name for the trade partner organization)

DSCSA EPCIS email contact for this Trade Partner(Required)

(this email can be an individual or a contact list)

Company Address(Required)

Street Address City State ZIP Code

Web site domain address

Please provide your web site domain name

EPCIS/AS2 solution provider

Who is the provider you are using?

GLN(Required)

GLN is a 13-digit number formed using your GS1 Company Prefix number

Company Prefix

GS1 Company Prefix is a unique number that identifies your company as owner

SGLN

SGLN format: CompanyPrefix.LocationReference.Extension

Send me a copy of my responses

EPCIS Data Sheet

Ready to Partner With a Trusted Supplier?

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Phone:

Address