Medicine Shoppe #1497
1667 Willingham Ave
Baldwin, GA, 30511
Tel.: (706) 778-7174
Fax.: (706) 778-3405
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