Transfer Your Prescription – Canary Pharmacy

Which pharmacy location do you want to transfer your prescriptions to? *

Name *

First

Last

Email *

Confirm Email

Phone Number *

Please enter your full phone number (no dashes)

Comment or Message *

Please provide Rx number(s) and name of your medication(s) you want to transfer

Which pharmacy is this from? *

Please provide the pharmacy name and phone number

By providing your phone number and email address, you authorize us to contact you in connection with pharmacy services, health care and your account via text or live and autodialed calls at the phone number provided above. Your consent is not a condition of purchase or receipt of services and may be revoked at any time. Your carrier’s message and data rates apply. *

I consent