USC Medical Plaza Pharmacy

1510 San Pablo Street, Suite 144 Los Angeles, California 90033

(323) 442-5770

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USC Medical Plaza Pharmacy

1510 San Pablo Street, Suite 144 Los Angeles, California 90033

(323) 442-5770
Closes at {{closingHours}}
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Prescription Transfer Request

Fill out this form to request to have your prescription transferred to USC Medical Plaza 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 *

Comments

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