Medicine Shoppe #1384
579 N Main Street
Hiawassee, GA, 30546
Tel.: (706) 896-4686
Fax.: (706) 896-2325
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