Refills Form

Delivery Option :

Pick-Up Delivery Charges $ 2.50

Last Name :

First Name :

Telephone :

Email :

Prescription #1 RX Number :

Prescription #2 RX Number :

Prescription #3 RX Number :

Prescription #4 RX Number :

Prescription #5 RX Number:

Allergies :

Message :

Contact Information

1078 Bloor St West
ON, M6H 1M6

Telephone: 416-532-9391
Fax: 416-532-7887
E-mail: info@maindrug.ca

Monday - Thursday 9 AM - 8 PM
Friday 9 AM - 7 PM
Saturday 10 AM - 4 PM
Sunday 12 PM - 4 PM