Medicine Shoppe #1706
3137 S Grand Blvd
St Louis, MO, 63118
Tel.: (314) 865-1528
Fax.: (314) 865-5219
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