PickUp My Rx Have the prescriptions with you? We will pick them up from you, and drop them back for free. (Seriously we will) Just tell us where to meet you below. Full Name*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code TelephoneE-mail* Date For Pickup / Delivery Location*CommentsSpecial Notes, Allergies HIPPA Policy* I have read and understood the HIPPA policies (click here) and procedures of Philly Drugstore. NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.