Foothills Professional Pharmacy - Custom Compounding Center, Phoenix, AZ

Refilling and Transfering your prescriptions is easy!

Just fill out the form below and once the prescription is transferred, you will receive a follow up call from us. Durring that call we will obtain the rest of your required information, such as address, allergies, insurance, etc.
We will also set up a pick up time so that you know exactly when your prescription will be ready.

If you need to refill your prescription please fill out the form below.

First Name: *

Last Name: *

Prescription Number: *

Phone Number: *

Special Instructions:

You can also call us to have your prescrption transfered. Please have the following information ready when you call:

Patient's Full Name
Patient's Date of Birth
Phone number
Pharmacy Name
Pharmacy Phone Number
Prescription Number
Prescription Name
Special Instructions

You can reach us at:

480-496-4444 (phone)
480-496-4450 (fax)

Refills@FoothillsPharmacy.com

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