Prescription SignUp – Anthony's Pharmacy

Transfer Prescription

Know your Rights: You have the full right to transfer your prescriptions at any time
Contact your Doctor: You can also talk to your doctor or healthcare provider and have your prescription transferred to Anthony’s Pharmacy
Consult with Us: Call us or stop by our convenient location and we will show you how!

First Name

Last Name

Date of Birth

Phone Number

Address

City

State

Zip/Postal Code

Pharmacy Name

Pharmacy Phone

If you would like to transfer all prescriptions, simply check the box below.

Transfer all my prescriptions

List specific prescriptions to be transferred

Rx1 Med Name

Rx2 Med Name

Rx3 Med Name

Rx4 Med Name

Rx5 Med Name

Rx1 #

Rx2 #

Rx3 #

Rx4 #

Rx5 #