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With just one simple step you can order a refill for your prescription, and have it waiting at your neighborhood store, or delivered to your home!
First Name:
Last Name:
Phone Number:
(
)
-
E-mail Address:
Would you like the pharmacy to contact your doctor if your prescription needs authorization?
Yes
No
***
Privacy policy:
Drug World will not sell your name or information to any other company or organization. Your prescription information and personal information entered on this form is not stored in any database or shared with anyone other than the Pharmacy filling your prescription.
Prescription #1:
Prescription #2:
Prescription #3:
Prescription #4:
Prescription #5:
Prescription #6:
Prescription #7:
Prescription #8:
Would you like to:
In Store Pickup
Delivery (store Service)
(Amenia store does not offer Delivery)
Which store would you like to use?:
Amenia
Central Nyack
Spring Valley
Cold Spring
***Please click "Submit" only once and wait for confirmation. There will be a delay for processing
***Please note that there are many possible reasons why we might not be able to fill your prescription for the time you requested. Some of these reasons include: if there are no more refills allotted for that prescription, the prescription requested is over one (1) year old, or if we are out of stock.
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