Home

 About Us Prescription Refills New Prescriptions  OnLine Vitamin Store Meet Our Staff  

Directions

 Links 

 

A Pharmacy established in 1983 Specializing in HIV/AIDS   Drugs Oncology and Alternative Therapies.

- Special Prices and Discounts - All Major Credit Cards Accepted -

NYS MEDICAID, NYS ADAP Insurance Assignments and Most Major Insurance Plans Accepted

 

PHYSICIAN CONTACT INFORMATION

Please complete this form if you wish us to call your doctor for a new prescription. Thanks!

Please enter your physician's name:

First Name: Last Name:

Please enter your physician's telephone number:

Country Code: City Code: Area Code(US Only):

Telephone Number:

Medication(s) Requested:

________________________________________________________________________________________________________________________________________________________

Please enter your name:

First Name: Last Name:

Date of Birth(mm/dd/yy):

Please enter your mailing address:

Address 1:

Your E-Mail Address:

City: State: Country:

Postal Code:

Please enter your telephone number:

Country Code: City Code: Area Code(US Only):

Telephone Number:

Thank your for your request!  We will contact you when we obtain your prescription(s) to obtain your preferred method of payment.