Medicine Shoppe #1281
2723 Windemere Drive
Valdosta, GA, 31602
Tel.: (229) 244-0640
Fax.: (229) 245-1393
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