Become A Distributor

Distributor Inquiry Form

Does your business sell to professional healthcare provider facilities like hospitals, surgery centers, nursing homes, dental practices, or doctor’s offices? NDC is a master wholesale organization offering an array of services to support healthcare distributors.

NDC partners with established U.S.-based healthcare distributors and does not support e-commerce only resellers. Residential addresses are not accepted. State tax exemptions or resale certificates are required for each state where your company ships merchandise. Pricing and quotes are provided only after an account has been established.
Note: This is not an application.

First Name*

Last Name*

Company*

Referred by a Manufacturer?

Phone*

Fax

Email*

Street*

City*

State/Province*

Zip*

Website*

Year Established*

Number of Sales Personnel

Annual Revenue

Top Three Vendors*

Primary Market:

Minority Status:

Store Front:

*Required