Hours
Monday - Friday: 8:30am - 5:30pm
Saturday: 8:30am - 1:00pm
Sunday: Closed

270-563-1044

Transferring your prescriptions to Alford's Pharmacy is simple.
Fill out the form below and we'll do
the rest!

We will send you a confirmation email when your transfer is complete.

First Name:  
Last Name:  
Date of Birth:  
Street Address:  
City:  
State:  
Zip:  
Phone Number:  
E-Mail Address:  
Comments:  
 
Would you like to be contacted by phone 
regarding your prescriptions?

Yes    No  
 
 

Please enter the pharmacy information that
we will be transferring from below:

                                                  
Pharmacy Name:  
Pharmacy Phone:  
                         
Prescription Name:  
Prescription Number:  
   
Prescription Name:  
Prescription Number:  
   
Prescription Name:  
Prescription Number:  

 Prescription Name:  
Prescription Number:  
                                                                                                                                                               
 
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