Prescription Refills
05/10/2008
Refills for Prescription
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Get your prescriptions refilled!
 

Medical Prescription RefillsWelcome to the Duncansville Pharmacy Prescription Refill page! Please be aware that refills only may be ordered via this process. New prescriptions and transfer of prescriptions need to be brought into the pharmacy.


In order that we may have your prescription prepared for you, please follow the format below. (Note: Please be sure your prescription has refills. If not, you will need to contact your physician's office.)


We cannot mail prescriptions. This service is for pick-up at the pharmacy or local delivery.


THANK YOU!



 

Patient Name:
1st Rx #:
2nd Rx #:
3rd Rx #:
4th Rx #:
5th Rx #:
6th Rx #:
Your name (if different than Patient's name):
Email for confirmation:
Phone number:
Additional Comments:
 
 

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