refill prescriptions online

You may request up to six prescriptions at one time. If you need more, simply enter six and click "Submit", then use your back button to return to the page, click "Clear" to clear the form and enter your remaining prescriptions.
Phone
931-879-8133 Fax
931-879-9365
 
Prescription Information:
Last Name: 
 
Rx: 
Rx: 
Rx: 
Rx: 
Rx: 
Rx: 
 
Contact Information:
Phone: (xxx-xxx-xxxx)
E-mail:
 
  
 

 

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News

Sept 15th 2023

www.roman.com goes live!

 

 

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