DSCSA / EPCIS Trading Partner Information Form
To support DSCSA compliance and prepare for EPCIS data exchange, MWI Animal Health is collecting required customer information from trading partners. Please complete the form below for your account and location.
Customer Details
Customer Primary Contact Name
First Name
Last Name
Customer Primary Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Customer Primary Contact Email Address
example@example.com
Solution Provider Details
Solution Provider Name
Solution Provider Contact Name
First Name
Last Name
Solution Provider Email Address
example@example.com
Global Location Number(s)
If providing multiple GLNs, separate each one by a comma (,)
GLN of your highest corporate level to start connection activity
Global Company Prefix (if applicable)
EPCIS Connection GLN
Submit
Should be Empty: