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Rx Prescription Refill Request Form Please complete all form fields and click submit to send the form information to us. Your request is not confirmed until you receive a reply from us. Please allow one working day for most requests to be ready for pick-up or drop-off. Certain orders may require extra time for special-ordering or back-ordering. Online RX Ordering is only available for patients we have seen, and prescriptions that have available refills.
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1961 Main St. #230, Watsonville, CA 95076 | Phone (831) 345-4895 | contact@modernequine.com |
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