TRANSFER RX

Submit your information in the form provided below.
We are grateful for your enduring confidence in our pharmacy.

*First Name
*Last Name
*E-mail
*Phone Number
*Date of Birth
*Address
*City
*State
**Zip/Postal Code:
*Pharmacy Name:
*Pharmacy phone: (eg.000-000-0000)
Prescriptions to be transferred
Medication Name or RX No.:
Medication Name or RX No.:
Medication Name or RX No.:
Medication Name or RX No.:
Medication Name or RX No.:
Medication Name or RX No.:
Medication Name or RX No.:
Medication Name or RX No.:
Medication Name or RX No.:
Medication Name or RX No.:
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For prescription medicine transfers and refills, Get in touch with us.

Get in touch

110 Stockton Street, Suite M, Statesville, NC 28677

Ph.:(704)-380-2725

Come Visit

Mon: 10:00am - 6:00pm

Tue: 10:00am - 6:00pm

Wed: 10:00am - 6:00pm

Thu: 10:00am - 6:00pm

Fri: 10:00am - 6:00pm