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Transfer Prescription

Easily refill your prescriptions via phone, email or visiting in person.

To transfer your prescription medication to our pharmacy, please fill out the necessary requirements in the form below.

Patient Details



Prescriptions to be transferred

If you would like to transfer all prescriptions, simply check the box below.



If you would like to selectively transfer your prescriptions, fill the following information.



You can also use any of the below method for refilling.

Visit Us

226 Main St, Farmingdale, NY 11735