Medicine Shoppe #1208
1420 B Fabens Road
Fabens, TX, 79838
Tel.: (915) 764-2739
Fax.: (915) 764-7639
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