951-659-2135
MEMBER
Providing you with diabetic
supplies and information
JANUARY 2012
Health Tips
And Specials
Nature's Blend
Vitamin Specials
Protect your access to
safe and affordable
medicine.
and Ambassador
Digital Kiosk & Film Developing
Check Out The JANUARY SPECIALS and SAVE
We can flavor pets medication with flavors they'll love taking!
Prescription Refill Request
Enter Name as it appears on prescription:
Phone Number:
Email Address:
Enter each prescription number in a separate box below:
Prescription #2:
Prescription #4:
Prescription #6:
Prescription #8:
Prescription #10:
Be sure to let us know if there is any change to your prescription(s), e.g. change of directions, change of strength, or change of doctor.
Comments
Brand Name
Vitamins & Supplements
Cosmetics
REVLON
COVERGIRL
Maybelline
Wetnwild
Idyllwild Pharmacy, 54391 Village Center Drive, Idyllwild, California 92549 951-659-2135