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REFILLS

One way we provide great customer service at Kilgore's Medical Pharmacy is with online prescription refills. To be eligible for this service, you must have a current prescription on file with us. Just fill out the Prescription Refills Form below and we will have your prescription ready for you as requested.

Please let us know whether you would like your prescription delivered for free or if you would rather come in and pick it up. You can always use our very fast drive-thru!


PRESCRIPTION REFILLS FORM

First Name: Date of Birth:
Last Name: Email:
Telephone Number:
Prescription Refill Number(s):
1. 2.
3. 4.
5. 6.
7. 8.
9. 10.
Please check the appropriate box to process your prescription refill:
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