Queens Pharmacy

18522 Highway 18 Suite 103 Apple Valley, California 92307

(760) 946-4700

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Queens Pharmacy

18522 Highway 18 Suite 103 Apple Valley, California 92307

(760) 946-4700
Closes at {{closingHours}}
Directions
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Prescription Transfer Request

Fill out this form to request to have your prescription transferred to Queens Pharmacy.
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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