Medicine Shoppe #1710
1509 Route 179 P.O. Box 159
Lambertville, NJ, 08530
Tel.: (609) 397-8889
Fax.: (609) 397-8383
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