Welcome To Care Pharmacy
Fill a New Prescription
Fill a New Prescription
To fill prescription(s) online, simply take a photo of your prescription slip and complete the New Prescription Request form below.
Pharmacy Location
Personal Information
(Name must be entered exactly as it appears on the Prescription Label.)
(Phone number for communication)
Prescription Refill Information
Important: Please allow 24 hours for the pharmacy to prepare your prescription(s).
Please enter the prescription number(s) you wish to refill at this time. This prescription number is located on your prescription label. All prescriptions entered must match the last name as entered above.
Your prescription will be processed during normal pharmacy hours.
Please contact the pharmacy directly to inquire about delivery options, and pick up times.
Not all prescription(s) may be eligible for online refill.
Prescription Pickup
Select the date you would like to pick up your prescription. While your medication(s) may be ready earlier, please allow 24 hours for us to prepare your prescription (or longer, if a refill is requested the day before an observed statutory holiday; please call your pharmacy to check their holiday hours). If you require your medication(s) sooner, please telephone your pharmacy directly to confirm. Store phone number, and hours of operation are displayed above.
Special Requests/Instructions
Do NOT include any personal health or billing/credit card information.
This section is optional (Maximum 300 characters.)
Terms and conditions
  I have read and I agree with terms and conditions
Please review your request before submitting.