RX RENEWAL

Erin Centre Pharmacy
Pharmacist: Marc Mikhael
Phone: 905-816-9300
Fax: 905-816-9055
Email: erincentrepharmacy@gmail.com

Request a Prescription from your Family Doctor

* Indicates required field

Name *

First

Last

Date of Birth (dd/mm/yyyy) *

Health Card Number *

Version Code *

Phone Number *

Email *

Family Doctor *

Medication Name(s) *

Would you like to fill your prescription at our Pharmacy? *

Yes No

If you click 'Yes', our Pharmacist will call you as soon as your prescription is ready for delivery or pick up. Our Pharmacy will price match all pharmacies and offers free same day delivery

Benefits of using Erin Centre Pharmacy :

Our pharmacist has a direct line of communication with your family doctor
Our pharmacy will price match all other pharmacies
Free same day delivery right to your door
Free patient consultation
Our Pharmacist will organize weekly medications in a compliance pack for you
After hours email: erincentrepharmacy@gmail.com

If You prefer using a different pharmacy, Please Enter Your Pharmacy Name *

Pharmacy Phone Number *

Pharmacy Fax Number *

Please note, we can only send your request to your specified pharmacy if the name, phone and fax number are correctly filled out.

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