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Purdy Cost Less Pharmacy

Purdy Cost Less Pharmacy

Your Neighbors. Your Pharmacy.

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Transfer a Prescription

To transfer your prescription to Purdy Cost Less, please fill out the form below. We’re looking forward to serving you.

"*" indicates required fields

Name*
Date of Birth*
What best describes your gender?*
Is your gender the same sex you were given at birth?
Email Address
Are you a current or new patient at Purdy Cost Less Pharmacy?*
Preferences
I Agree*


Transferring Pharmacy Information


Prescription Information

Please choose one of the following
You have chosen the option to transfer all the prescriptions with refills available?
When received, they will be placed on file until you request them. Please call in advance so we have time to contact the prescriber or order the item if needed. (Providing a list of medications is highly suggested to make sure all the prescptions are transferred successfully.) *
How would you like us to proceed once this prescription is transferred to our pharmacy?
Please choose one of the following
How would you like us to proceed once this prescription is transferred to our pharmacy?
Please choose one of the following
How would you like us to proceed once this prescription is transferred to our pharmacy?
Please choose one of the following
How would you like us to proceed once this prescription is transferred to our pharmacy?
Please choose one of the following
How would you like us to proceed once this prescription is transferred to our pharmacy?
When your prescriptions are ready, how would you like to be notified?*
This field is for validation purposes and should be left unchanged.

Purdy Cost Less Pharmacy
In Lake Kathryn Village Mall
14218 92nd Ave NW
Gig Harbor, WA 98329

Phone: 253-857-7797
Toll-Free: 833-544-1955
Fax: 253-857-7679

Transfer a Prescription
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Purdy Cost Less Pharmacy

In Lake Kathryn Village Mall
14218 92nd Ave NW
Gig Harbor, WA 98329

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