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LOCATION
402 Bna Dr suite 500, Nashville, Tennessee 37217
CORPORATE OFFICE
615.366.3230
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Become A Manufacturer
Manufacturer Inquiry Form
Name
This field is for validation purposes and should be left unchanged.
Contact Person Name
(Required)
First
Last
Contact Person Title
(Required)
Company Name
(Required)
Year Established
Phone
(Required)
Email
(Required)
Address
(Required)
City/State/Zip
(Required)
Website Address
(Required)
Ownership
Individual
Partnership
Corporation
Subsidiary
Subsidiary Of
Total Annual Sales
Annual Sales in US/Canada
Key Product(s)
Markets Served
(Required)
Primary Competition
(Required)
List Primary Distributors
(Required)
Total Number of US Distributors
(Required)
% of Sales Through Distribution
% of Sales Direct to Healthcare Providers
Do you currently sell to self-distributing IDNs? If so, which ones?
Total Number of Sales Personnel
(Required)
Company Reps
Manufacturer Reps
Is your organization interested in outsourcing its sales and/or marketing functions?
Yes
No
Does your organization own its distribution facility(s) or do you outsource that function?
Own
Ousource
Is your organization interested in outsourcing its distribution utilizing NDC 3PL Services?
Yes
No
Do you have current contractual relationships with GPOs? If so, which ones?
Do you currently process rebates? If so, is that internally processed or outsourced to a 3rd Party?
Is your organization interested in outsourcing its contracts & rebate processing?
Yes
No
Who directed you to NDC?
What are your expectations in doing business with NDC?
Additional Comments
