Call In A Prescription
If you have questions regarding prescribing or would prefer to call in a prescription you may call the pharmacy directly:
Phone: 310-395-3294
Fax: 866-314-4845
When calling in a prescription please include:
DOCTOR:
Doctor’s Name (with spelling)
DEA, State License and NPI
Address, Phone and Fax
PATIENT:
DEA, State License and NPI
Address, Phone and Fax
PATIENT:
Patient Name (with spelling)
Birthdate
Phone Contact
Rx:
Birthdate
Phone Contact
Rx:
Debacterol Unit Dose Swab Applicator
Sig: Use as directed in INSTRUCTIONS FOR USE provided
Number Units: 12
Refills: ___
Sig: Use as directed in INSTRUCTIONS FOR USE provided
Number Units: 12
Refills: ___