Webb City, MO

1107 South Madison - Suite A,  *  Webb City, MO 64870  *  417-673-4909

Transfer My Presription

Would You Like to Start Using The Medine Shoppe? In almost all cases, your co-pay is the same no matter where you shop. So why not go where it is FAST and CONVENIENT?

Transfering your prescriptions to the Medicine Shoppe is EASY. We will take care of everything for you. Simply tell us where you've been buying your medicines and we will have all your records transferred here for you. You can immediately start enjoying our family-like personal service and our convenient location.

The Medicine Shoppe is excited to have you as a new customer! Please provide us with the information we will need to transfer your prescriptions to us:
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
List of Prescription #'s (found on each pill bottle):
Transfer From: (My previous pharmacy / Specific location):
Email:
Comments:
Security Code: *  

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