Pharmacy Transfer Requests - Community Pharmacy

Thank you for choosing the CHI St. Alexius Health Community Pharmacy.

If you have any questions with this online process or your medications, feel free to call us at 701.530.6906. Community Pharmacy is located at 900 E. Broadway, Bismarck. Transferring your prescription is a simple process. Just complete the information below and we will transfer your prescription as quickly as possible. You can pick up your prescription at 900 E. Broadway or take advantage of Community Pharmacy Curbside Pickup Service.

Not transferring but wanting to refill a prescription, click here.

-Back to Community Pharmacy-

First Name *

Last Name *

Address *

Address 2

City *

State *

Zip Code *

Phone Number *

Email Address *

RX Number #1

Medication Name #1

Medication Dosage #1

RX Number #2

Medication Name #2

Medication Dosage #2

RX Number #3

Medication Name #3

Medication Dosage #3

Pharmacy Transfer From

Pharmacy Phone Number

Physician Name

Physician Phone Number

Transfer To

Phone Number

Comments

Search form

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Pharmacy Transfer Requests - Community Pharmacy

Not transferring but wanting to refill a prescription, click here.

General Information