Refill Request
Where would you like to Pick up? [If you frequent one location more often, please select the same location for prompt service. Law does not allow us to change refill location more than once]

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Please fill this short form to request refills from our stores. If you do not know the prescription number(s), please write ONLY THE FIRST THREE letters of the drug(s),  For privacy, do NOT enter the entire name of drug(s).  Please allow one working day to pick up the prescription(s), if possible.

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