Long Term Care Pharmacy 24/7: 

(612) 259-8275

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Refill a Prescription

Fill out the information below to refill your resident’s medication(s) through our secure form. By submitting your refill request you are agreeing to United Community Pharmacy’s HIPAA Notice of Privacy Practices. Please note this is for refills only, for new orders contact us directly at 612-259-8275. 

  • If you are completing this form on behalf of a client, please provide your name and contact information.
  • This field is for validation purposes and should be left unchanged.