Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Express Scripts Canada before sending sensitive documents. FaxFlow is not affiliated with this organization.
Express Scripts Canada fax number
(855) 622-0669
Provider Enrollment / Pharmacy Enrolments
Used for: Filing of enrollment forms and group user ID requests with Express Scripts Canada
Fax destination details
- Department
- Provider Enrollment / Pharmacy Enrolments
- Purpose
- Filing of enrollment forms and group user ID requests with Express Scripts Canada
- Form
- Pharmacy Enrolments, Agreements and Modification Forms — Pharmacy Enrolments, Agreements and Modification Forms
- Address
- 10th Floor, 5770 Hurontario Street, Mississauga, ON L5R 3G5, Canada
- Voice phone
- 1-800-563-3274
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Please complete all sections and return by fax to 1-855-622-0669.
Official form instructions are published as a downloadable file on the organization's website.
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