Medicine Shoppe #1114
434 E Pittsburgh St
Greensburg, PA, 15601
Tel.: (724) 834-5113
Fax.: (724) 834-5160
Request a refill for your medication(s)
Please note that this form allows you to submit up to 5 prescriptions for refill. If you would like to submit more than 5 prescriptions for refill, please complete additional submission forms.


Rx Number(s)

Numbers only
NO letters or dashes