Refills Form

Delivery Option :

Pick-Up Free Delivery

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

1130 Bloor Street
Toronto, ON, M6H 1M8

Telephone: 416-532-9391
Fax: 416-532-7887
E-mail: maindrugmart1130@gmail.com

Monday - Friday 9 AM - 9 PM
Saturday 9 AM - 6 PM
Sunday 12 AM - 5 PM