New customer / Prescription transfer

Full Name

Date of birth

E-mail (Optional)

Phone

Information about your old pharmacy (address, telephone number, banner or other) (Optional)

I have read about the pharmaceutical services offered by Pharmacy Raluca Smarandache and I agree to transfer my prescriptions there. This decision was not imposed on me. It is understood that at all times, I will be free to choose my pharmacy and the health professional I wish to consult. I remain free to change pharmacies at any time if I am no longer satisfied. If this were the case, this authorization would no longer be valid.

Send

Contact us

(514) 694-4087

pharmaciepointeclaire@gmail.com

OUR LOCATION

1 Holiday Ave #155, Pointe-Claire, QC, H9R 5N3

Full Name

E-mail

Phone

Message (Optional)

Send