
Request for Online Prescription Refill Account Form
Please provide the information below so that we can set up your account
For information on our Notice of Privacy Practices as mandated by HIPAA, click here...
|
Main Pharmacy 2615 13th St. (Across from Franklin Square) Columbus, NE 68601 |
Clinic Pharmacy 4508 38th St., Suite 160 Columbus, NE 68601 |
402-564-7205 800-622-0140
FAX: 402-564-1979
E-mail: tooley@megavision.com
by McGee Designs,
1999-2003