Refill Request

Refill requests submitted over the Internet may take up to one business day to fill.

* Denotes required field.

Client Information:

* First Name:
* Last Name:
* Primary Telephone Number:
* Email Address:

Pet Information:

* Pet's Name:

 
* Species:

e.g. canine, feline, etc.
Age:
Breed:

Rx Information:

* Medication or Diet:

e.g. deramaxx
Strength:

e.g. 100mg
Dosage/Directions for use:

e.g. 1/2 tablet every 12 hours
* Quantity:

e.g. 30 tablets

Pickup Information:

* Date for Pickup:

e.g. Thurs July 20
Time of the Day:

e.g. after 12pm


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our hours

Mon:  7am - 8pm
Tues:  7am - 8pm
Wed:  7am - 8pm
Thurs:  7am - 8pm
Fri:   7am - 8pm
Sat:  8am - 4pm
Sun:  9am - 3pm
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