Medicine Shoppe #1968
305 S Euclid Ave #111
Tucson, AZ, 85719
Tel.: (520) 461-1125
Fax.: (520) 461-1126
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