Refills


	*Bruce Smith Drugs is your CardioTabs HQ!*


	*Open and Delivering 365 Days a year!*

Thank you for choosing Bruce Smith Drugs online refill ordering process. Please fill out the following information to place your order. Have your medicine container available as you will need some of this information to complete your order.
Please allow at least 3 hours for processing prescriptions during pharmacy hours. If your prescription bottle shows zero refills, please allow us extra time to contact your physician for renewal information


	First Name *

	Last Name *

	Email Address *


	Daytime Phone *

	Night Phone


	Prescription Refills Enter in the Prescription number exactly as it appears on the prescription label. You may enter all your family's prescriptions on the same refill request. If you don't know your prescription number, please call your pharmacist.


	RX number

	RX number

	RX number

	RX number

	RX number

	RX number


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