Transfer prescriptions form 2017-08-17T18:52:56+00:00
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Transfer your prescription

Tell us which prescriptions you need to change to Misir and we'll deal with the rest. We'll text you in about two or three hours to affirm your transfer and after that setup your payment and free delivery.

Old Pharmacy nameyour full name
Old Pharmacy addressyour full name
Old Pharmacy Phoneyour full name
Medication nameyour full name
Medication nameyour full name
Medication nameyour full name
Medication nameyour full name
Your Information

We'll text you to finish your transfer and schedule your first delivery. 

First nameyour full name
Last nameyour full name
Phoneyour full name
Sexyour full name
Date of birthyour full name
Please list any allergiesyour full name
Please list any medical conditionsyour full name
Any other medications?your full name
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Monday - Friday
8:00am - 6pm

Saturday
10:00am - 4:00pm
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