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1. Your Current Pharmacy: (transferring from)

       Enter your (transfer from) pharmacy's Name, Phone #, City, & State :

Prescription Transfer Form
* First Name:
* Last Name:
* Rx Number:
Email:
* Patient Phone:
* Date of Birth:
3. Best Way to reach you?:.
(Your email(optional) / Phone #)
2. Enter Your Prescription Info:

       Enter your prescription Info (Patient’s first name, last name)
          (Check the label on your Prescription for the Rx Number)
Please Select - (to prove you are human):




* Pharmacy:

* Pharmacy
     Phone #:

    
          City:


          State:


* Required Entry
By providing your phone number and/or email address, you authorize us to contact you in connection with pharmacy services, health care and your account by email, text or dialed calls at the email/phone number provided above. . Your carrier’s message and data rates apply.

  PLEASE ENTER ALL REQUIRED INFO:      (All    *   as indicated)                
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Click to Read
Royal Pharmacy  Copyright © 2020    All Rights Reserved
                            HOURS:    

Monday  to  Friday          Saturday & Sunday
    
8am   to  6pm                   Closed

Click to Read
Royal Pharmacy  Copyright © 2020    All Rights Reserved
                            HOURS:    

Monday  to  Friday          Saturday & Sunday
    
8am   to  6pm                   Closed