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23355 5th Avenue, Florala, AL 36442 | Phone: (334) 858-3291 | Fax: (334) 858-5254 | Mon-Fri: 8a.m.-5:30p.m. | Sat: 8a.m.-12p.m. | Sun: Closed

New Prescriptions

New Prescriptions

We would love the opportunity to serve as your trusted prescription provider.
Please fill out the form below and we will take it from here!

You must bring original prescription with you when you come to pickup.

First Name

Last Name

Email Address

Phone Number

Birth Date (XX/XX/XXXX)

Provider Name

Provider Phone Number

Medication Name

Strength / Quantity

Medication Name

Strength / Quantity

Medication Name

Strength / Quantity

Medication Name

Strength / Quantity

Message to Pharmacist

Our commitment to patient care and health is priority one here at Florala Pharmacy.

We believe in the value of providing personalized service and quality products.

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Florala Pharmacy
23355 Fifth Avenue, Florala, AL 36442
(334) 858-3291 - (334) 858-5254
NPI: 1376554907

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CareMed
324 West Bypass, Andalusia, AL 36420
(334) 427-2222 - (334) 427-6331
NPI: 1285645812

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