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Prescription Transfer Request form - Qualicum Beach

Please fill out the details as requested below. Your Best Value Pharmacy team will reach out to you if there is any question(s).

Name of your current Pharmacy*

Phone number of your current Pharmacy*

Patient’s First Name*

Patient’s Last Name*

Patient’s Personal Health Number (PHN)*

Patient/Caregiver’s Phone number*

Patient/Caregiver’s email address*

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Best Value Pharmacy # 2

660 Beach Rd #101, Qualicum Beach, BC, Canada

Phone: 250-909-0290 Fax: 236-935-2984

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Option+ Products 40% off- October/19-23/2026!