New Customers Your last name, first name (required)* Date of Birth* MM slash DD slash YYYY Email Phone*Information on your former pharmacy (address, telephone number, banner or other) * I have read the pharmaceutical services offered by the Clinique Raluca Smarandache and I agree to transfer my prescriptions there. This decision was not imposed on me. It is agreed that at all times, I will be free to choose my pharmacy and the healthcare professional I want to consult. I remain free to change pharmacies at any time if I am no longer satisfied. Should this be the case, this authorization will no longer be valid. Contact us Call Us (514) 694-4087 Our Location 1 Holiday Ave #155, Pointe-Claire QC H9R 5N3 Name First Last Email Message
