Select the location you wish to transfer to.
McBain Family Pharmacy (119 N. Roland St., McBain, MI 49657)
LC Family Pharmacy (57 Morey Rd, Lake City, MI 49651)
Your Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Phone Number
*
Please enter a valid phone number.
Email
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Current Pharmacy
*
Current Pharmacy's Phone Number
*
Please enter a valid phone number.
List the prescriptions you would like to transfer to our pharmacy.
Please list one prescription per line
Please verify that you are human
*
Submit Transfer
Should be Empty: