Prescription Transfer

* Indicates required field

Name *

First

Last

Email *

Please write the name of the pharmacy and prescription numbers or name of the medications *

For Delivery; please indicate best time and address if different than one on file or any special instructions *

Submit

Pembina Drugs
2725 Pembina Hwy - unit 3
R3T 2H5
Phone: (204) 261 4449
Fax: (204) 261 4888