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info@jpharmacy.ca
Mon. - Fri. 8:00 – 20:00 Sat. 8:00 - 14:00 Sun. Closed
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SERVICES
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CONTACT US
FILL NEW PRESCRIPTIONS
REFILL PRESCRIPTIONS
TRANSFER PRESCRIPTIONS
COVID / FLU SHOT APPOINTMENT
MINOR AILMENTS APPOINTMENT
REFILL FORM
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Last Name
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Date of Birth
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E-mail address
Phone Number
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Numbers of all Prescriptions
I AGREE TO TRANSFER MY INFORMATION IN THIS EFORM ELECTRONICALLY AND I FULLY UNDERSTAND THE RISK.
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