
Online Prescription Refill Form
Please provide the information below so that we can refill your prescription
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If this is a new prescription that you want added to your Tooley's account, please say so in the "Questions and/or Comments" box and follow the instructions on the next page |
For information on our Notice of Privacy Practices as mandated by HIPAA, click here...
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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