BEACH PHARMACY

Fill out the necessary required information for the pharmacist to respond to. Members can also call the pharmacist directly for medications or information. Phone: 219-884-3331 or 219-938-4211

1) EMAIL US YOUR PRESCRIPTIONS

	Enter your prescription numbers. Rx 1: Rx 2:
	Enter the last four digits of your telephone number on record at the pharmacy.
	Enter the 10-digit telephone number of your pharmacy. ( ) -
Physician
Physician Phone Number	( ) -
Name:
Address:
City:
State:
Zip:
Email
Phone:

2) MAIL US YOUR PRESCRIPTIONS
3) FAX US YOUR PRESCRIPTIONS
4) PHONE US YOUR PRESCRIPTIONS

1) FAX US YOUR INSURANCE INFORMATION
2) PHONE US YOUR INSURANCE INFORMATION

BEACH PHARMACY, INC.
925 SHELBY STREET
MILLER, INDIANA 46403
PHONE: 219-884-3331 or 219-938-4211
FAX: 219-884-2167 or 219-938-7166

1) OVERNIGHT SHIPMENT, PROMISED
2) OVER THE COUNTER MEDICATIONS
3) SALE OF THE MONTH
4) MEDICAL SUPPLIES
5) FULL TIME CERTIFIED PHARMACIST ON DUTY

1) YOUR ALLERGIES
2) YOUR CURRENT MEDICATIONS