Thank you for visiting our Web
site. Please fill out the following form to request information
about our products and services or to provide feedback about our
site. When you are finished, click the 'Submit' button to send us
your message. You will see a confirmation below.
Note: Please provide your DEA number in the
message field with your inquiry- Thank you
Additional Note: Class 2 Narcotics can NOT
be ordered on the website.
Please give 24 hours or the next business
day for responses and for prescriptions (new or refill).
When ordering please provide the
following:
- Name (please include date of birth)
- Medicaid number, any insurance info, etc.
(if applicable)
- Prescription medication and
directions
- Indicate refills if any
- A contact name and number (if questions
arise)