Online Prescription Refill Request Form

Fill out the refill request form below.

Online Prescription Refills

A checklist form and pencil with the words Contact us at the bottom
A checklist form and pencil with the words Contact us at the bottom

Monday - Thursday: 9:00 AM to 5:30 PM

Friday: 9:00 AM to 5:00 PM

Saturday: 10:00 AM to 2:00 PM

12802 - 137 Ave NW

Edmonton AB T5L 4Y8

Phone. 780-406-0808

Fax. 780-478-2888

info@palisadespharmacy.ca

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