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Primrose Pharmacy
780-487-7270
primphar@shaw.ca
FAX 780-444-0032
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Menu
Home
About Us
Health
Drug Plans
Natural Health Products
Prescriptions
Simpl
New Prescription
Prescription Refills
Prescription Transfer
Pharmacy Services
Vaccination Services
Blister Packing
Over The Counter
Crutch Rentals
Safe Drug Disposal
Contact
FAX 780-444-0032
Prescription Form
03
form
Prescription Form
Please fill out the form below and we will have your prescriptions refilled as soon as we can. As soon as they are ready for pick-up we will be sure to let you know.
First Name
Last Name
Email
Phone Number
First Refill Number
Second Refill Number
Third Refill Number
Forth Refill Number
Comment
Send Your Information