For more information, please call: 718-291-4747

Physician Supply Order Form

To submit your order to Primary Care Pharmacy, please complete this form.

Order Your Prescription In Just 3 Steps
  • Give Us your Information and Insurance Information Phone

    Provide your updated prescription and insurance information to our pharmacist.

  • Have your Doctor E-Prescribe your Prescription Prescription

    Make sure you have the correct prescription details from your physician.

  • Free Delivery or Pick Up in Store. Delivery

    Once you get an order confirmation, claim your medications from Primary Care Pharmacy.

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