Island Prescription Center

1728 Grand Island Blvd.  Grand Island, NY 14072  716-773-5599

Prescription Refill Requests

Please fill out the following form and click submit to send your refill order to us.

First Name   

Last Name   

D.O.B.         

Phone #       

Refill #        

Refill #        

Refill #       

Refill #       

I will pick up prescriptions at store

Please deliver prescriptions            

Comments/Special Requests

 For your convenience we offer free delivery to our customers on Grand Island. 

 Requests received before 1:00 p.m. will be delivered on the same day,
requests received after 1:00 p.m. will be delivered on the next business day.

Copyright © 2007 Island Prescription Center