Crawford-Breazeale Drug Co

125 North Washington Street Lincolnton, Georgia 30817

(706) 359-3343

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Crawford-Breazeale Drug Co

125 North Washington Street Lincolnton, Georgia 30817

(706) 359-3343
Closes at {{closingHours}}
Directions
Online Refills
Services

Change Store

Prescription Transfer Request

Fill out this form to request to have your prescription transferred to Crawford-Breazeale Drug Co.
This form will be delivered via secure fax, and we will notify you when your prescription is ready to pickup.

Patient Information

First name *

Last name *

Phone Number *

Email Address *

Date of Birth *

Prescription Information

Existing Pharmacy Name *

Existing Pharmacy Phone Number *

Prescription # *

Prescription Name *

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