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Call us today and let us place your order. We can ship it anyway you like (ground, air, next day, etc.). Our courteous staff will assist you with your request.



310-737-7277

Please fill out this form to have your prescriptions transferred to this pharmacy.  We will contact you within 24 hours.  If you do not hear from us within 48 hours, please call us directly at (310) 737-7277.


* = Required
Patient's Name
Address
City, State & Zip
Daytime Phone With Area Code
Additional Phone
E-mail Address
Prescription Number (for refills)
New Prescription

Doctor's Name
Doctor's Phone with Area Code
Drug(s) Requested
Comments/Questions
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