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Transfer Prescriptions to Waynesboro Apothecary

Need Help? Contact us at (717) 762-2915 or e-mail [email protected].

I want to transfer all my prescriptions to Waynesboro Apothecary

I want to transfer just the prescriptions below to Waynesboro Apothecary

1. Details of your current prescription to be transferred

Prescription Name:

RX #:

Add another prescription

2. Pharmacy Information

What Pharmacy Is This From?

Pharmacy Phone Number:

3. Personal Information

First Name:

Last Name:

Date of Birth:

Mobile Number:

Additional Comments:

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