Refill Request

We are proud to offer our customers the convenience of online prescription refills. With this easy to use online form you can fill your prescriptions no matter where you are located or what time it is and we will have it ready and waiting for pickup at your convenience.

Your Name (required)

Phone Number (required)

Your Email

Prescription Numbers (please separate by comas)

Pickup or Delivery?

Delivery Address

What date would you like to pick up your prescription?

Please Confirm That Your A Real Person By Answering This Simple Question
What Is Please Write Answer In Box

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Contact Us

Martnicks Pharmacy & Discount
6783 Stirling Road
Davie, FL 33314
Directions

Phone: 954-530-4698
Fax: 954-530-4922

Opening Hours
Weekdays: 9am-7pm
Saturday: 9am-3pm
Sunday: Closed