Transfer Your Prescription

Switching your prescription from another pharmacy has never been this easy! The form below takes a few minutes to fill and a call will be made once the order is ready!

442 Queen St. Blyth, ON N0M1H0

Phone: (226) 256-8383

Name

First Name

Last Name

Phone

(###)

###

####

Current Pharmacy Name

Date of Birth

YYYY

Would you prefer your medication to be prepared in vials or blister packs?

Vials (bottles)

Blister Pack

If there is anything extra you would like us to know, type in here

Transfer Your Prescription

Blyth Pharmacy