Refill Your Prescriptions
Fill out the information below to request your refills on line. The information will be sent to our pharmacist and we will be able to fill it and have it ready for you.
Your Name *
Date of Birth *
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DD
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YYYY
Email Address (If You Would Like A Confirmation)
How Would You Like To Receive Your Medication? *
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This form was created inside of B & B Pharmacy.