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Prescription Refill Form

Do you need to request a prescription refill? You can ask for a refill on your medication at any time of the day through our automated eform – it is faster than calling! Please allow 24 hours for preparation of your prescription.

Prescription Number*

First Name*

Last Name*

Phone*

Email

Pickup or Delivery?*

Which Day? *

Comment*

Thanks for submitting!

Queen Street Pharmacy

4421 Queen St.
Niagara Falls, ON L2E 2L2

Contact Us

    905-354-5604

    905-354-8527

    info@queenstreetpharmacy.com

Opening hours:

Monday - Friday
08:00 AM - 07:00 PM
Saturday
09:00 AM - 02:00 PM

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Copyright Queen Street Pharmacy
Created by
Yellow Pages for business
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