Transfer RX Form
Please fill out the information below that will help us transfer your prescription number from your old pharmacy to B & B Pharmacy. Any questions below with a red asterix beside it is a required question. If you have any additional questions or remarks please insert it in the box at the very end or give us a call at (828) 252-2718. Thank you for choosing B & B!
Step 1 of 2: Information About You
Your Name *
Address *
City *
State *
Zip Code *
Phone Number *
Date of Birth *
Please hit continue below to move on to the next step.
Never submit passwords through Google Forms.
This form was created inside of B & B Pharmacy.