Phoenix Pharmacy Group
Partners for Success and Profit
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Contact Us

To join us is simple and straightforward. We'll help you figure out if you fit with us, and ensure your prompt acceptance to begin reaping our benefits.

  • Step 1 - Confirm your store fits with our profile for membership
  • Step 2 - Contact us by phone, fax, email or send our online form (below)
  • Step 3 - We'll answer your questions, so you can make a quick decision

Your membership application will be reviewed promptly. We will schedule a meeting at your convenience to fully describe the benefits of PPG Membership to you in detail.

You can contact us by phone, US Mail or Fax us:

Ed Heckman, CEO
160 Business Park Circle
Stoughton, WI 53589
(888) 434-0308 Phone
FAX (608) 873-4009

Richard Berson, Operating Manager
519 Lincoln Avenue
Pompton Lakes, NJ 07442
(973) 835-8685 Phone & FAX

Or send us your information online by completing this form.

We look forward to hearing from you.


Online Information Request

Items shown in RUST color are required fields.   Thanks.

Owner Name / Contact Name:
(First & Last)

Store Name:

Street Address:

City and State:

Zipcode:


Your eMail Address:
(you@yourmail.com)

Confirm Your eMail Address:
(you@yourmail.com)

Phone:
000-000-0000

Time to contact you?

All Day Morning Afternoon Evening


To help us determine the PPG benefit to you,
please provide some information about your store

Primary Drug Wholesaler Name
(Current Vendor)

Avg Monthly Purchase
(at cost)

What is your
"Cost Minus" Percent?


Secondary Drug Wholesaler Name
(Current Vendor)

Avg Monthly Purchase
(at cost)

What is your
"Cost Minus" Percent?


Generic Drug Wholesaler Name
(Current Vendor)

Avg Monthly Purchase
(at cost)


Other Significant Vendor
(Current Vendor)

Avg Monthly Purchase
(at cost)


How did you find Phoenix Pharmacy Group?

Search Engine Inquiry
Referral from Current Member
E-Mail
Word of mouth from non-Member
Other (Please specify):  

Add any comments or questions:

Join us...
We can bring our proven results to your business.