WE GLADLY ACCEPT EMBLEM HEALTH CUSTOMER PRESCRIPTIONS PLEASE DISREGARD ANY NOTICES IMPLYING OTHERWISE
THANK YOU!

3402 Avenue N, Brooklyn, NY 11234 | Phone: (718) 258-5858 | Fax: (718) 258-2600 | Mon-Thu 9:00am - 7:30pm | Fri 9:00am - 5:00pm | Sat Closed | Sun 10:00am - 2:00pm

Transfer Prescriptions

Transfer Prescriptions

We would love the opportunity to serve as your trusted prescription provider.
Please fill out the form below and we will take it from here!

First Name

Last Name

Email Address

Phone Number

Birth Date (XX/XX/XXXX)

Pharmacy Name

Pharmacy Phone Number

Rx Number

Medication Name and Strength

Rx Number

Medication Name and Strength

Rx Number

Medication Name and Strength

Rx Number

Medication Name and Strength

Message to Pharmacist

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J Drugs II
3402 Avenue N, Brooklyn, NY 11234
(718) 258-5858 - (718) 258-2600

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