Medicine Shoppe #1247
3310 Fort Blvd
El Paso, TX, 79930
Tel.: (915) 564-5451
Fax.: (915) 564-5813
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.

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Rx Number(s)

Numbers only
NO letters or dashes