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Online Prescription Refills

PrairieStone Pharmacy makes it convenient to refill your prescriptions online. Simply complete the form below to submit your refill order.

Refill orders placed by noon are available for same-day in-store pickup. Please allow two hours for your order to be completed.

If it’s after noon and you need same-day service, please call your nearest PrairieStone Pharmacy.

Pickup Location:  
First Name:  
Last Name:  
Phone:  
E-mail Address:  
Pickup Date:
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293012345
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  Only underlined dates may be selected.
   Sample Label:
1. Rx #:     
2. Rx #:
3. Rx #:
4. Rx #:
5. Rx #:
 
Your order will be available during regular pharmacy hours.
 
  
 
A confirmation e-mail will be sent for your records.
 
Notice of Privacy Practices – HIPPA