Prescription Information

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You may order refills of an existing prescription here and pick them up at
Carroll Pharmacy, 840 S. Brightleaf Blvd, Smithfield, NC 27577.
Arrangements can be made for mail or home delivery if desired.

Online Order Agreement

I agree that the prescriptions I am submitting are only for the individual to whom they are prescribed. Carroll Pharmacy reserves the right to validate any or all of my prescription refills due to the lack of personal validation and has the right to deny my prescription refill requests, until further validation is provided.

I accept this agreement and would like to make my online refill request. I decline and do not want to make an online refill request at this time (choosing this option will cancel the online refill process and redirect to the home page).

Please fill in the form below and follow the directions provided. Your refill request will be sent securely to Carroll Pharmacy. We will fill the order and keep it at the pharmacy counter, ready for pick up at your convenience.
First Name:
Last Name:
Email:
Phone Number:

Prescription Number:

Prescription Number:

Prescription Number:

Prescription Number:

Prescription Number:

Prescription Number:
	Pickup Delivery

First Name:

Last Name:

Email:

Phone Number:

Prescription Number:

Delivery Method:

Click to confirm your information:

Prescription Number Status