Transfer

Transferring prescriptions from other pharmacies, is as easy as 1..2..3!

1-Tell us what pharmacy they are located at and what medications you have there.

2-We will call the pharmacy and get the prescriptions for you.

3-We will deliver them to you, just say when and where.

Note-If you don’t have any refills left, don’t worry we will call the doctor for you.

Full Name*
Date of Birth
Telephone
E-mail*
Contact Method
Address (For Pickup / Delivery)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Date

For Pickup / Delivery
Existing Pharmacy
Pharmacy Telephone
Prescription Request
Rx Number & Name
Comments
Special Notes, Allergies
HIPPA Policy:*
- I have read and understood the HIPPA policies (click here) and procedures of Philly Drugstore.
Name
This field is for validation purposes and should be left unchanged.