Transfers

SIMPLY text the word TRANSFER to 718-332-8428 and we will handle the rest.

Fill out the form below with the prescriptions you'd like to TRANSFER and we'll update you when they are ready.

*Full Name:

*Date of Birth:

*Email Address:

*Mobile Phone:

*Pharmacy Name:

*Pharmacy Address:

*Pharmacy Phone:

Attach a picture of your prescription label OR you can fill out the info below.

Rx# or Drug:

How would you like to recieve your medication?

Pickup

Delivery

Address:

City :

Zip:

State: