Community Pharmacy of Bucksport
75 Main St. Bucksport, ME 04416 Pharmacy: 207-469-7030 Store: 207-469-8973 Fax: 207-469-7035
Ken Eaton, RPh Rebecca Hollins, PharmD bucrx@communityrx.com Store Hours: Monday - Friday: 8:00am - 7:00pm Saturday: 9:00am - 3:00pm Sunday: 9:00am - 3:00pm
Prescription Refill Form:
1. Who is this Prescription for? Please enter your last name and phone number exactly as it appears on your prescription label.
Last Name
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(Required)
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Phone
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(Required)
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E-mail Address
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(Required)
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2. Which prescriptions would you like refilled? Please enter your Community Pharmacies prescription number(s) from your medicine container.
Prescription 1
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(Required)
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Prescription 2
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Prescription 3
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Prescription 4
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3. Arrange for pickup or mailing of your prescription(s)? Please choose one of the options below
4. Verify information and submit your order.
By clicking on "Submit Refill" you confirm that you are the patient named, or the authorized caregiver for that patient. You further confirm that all the information you are submitting is correct.
To ensure the accuracy of your order we may contact you with questions concerning this refill request.
Please click the "Submit Refill" button and your refill request will be sent to the Community Pharmacies store listed at the top of this page.
Additional Comments:
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