1130 SW Maynard Road
Cary, NC 27513
ph: 919-467-6146
fax: 919-319-0197
info

Please complete this form to request a prescription refill. Note that all refills must be approved by a doctor, so we ask that you allow one full business day for your medication to be ready for pick-up.
Only one medication at a time may be requested on this form. If you need multiple meds refilled, please fill out the form once for each medication. Thank you!
1130 SW Maynard Road
Cary, NC 27513
ph: 919-467-6146
fax: 919-319-0197
info