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New Customer Form
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A Customer Service Representative will contact you to finalize your prescription order and provide instructions for mailing or faxing your prescriptions to us.
RxEstore c/o Customer Service 929 E. Main Street #245 Mt. Joy, PA 17552
Phone: 800-971-6972 Fax: 800-971-6974
Your Contact Information
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Your Medical Information
Your Prescription Order
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Your Primary Care Physician
Terms & Conditions
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