Medicine Shoppe #1736
2002-A Grant Ave
El Paso, TX, 79930
Tel.: (915) 544-6605
Fax.: (915) 532-6973
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