Good Neighbor Pharmacy
Fill out the form below to have your
prescription ready for pick up at:

      Davies Pharmacy, Inc
      2915 W. Tuscarawas St
      Canton, OH 44708
      (330) 454-5151
Pharmacy Hours: 
Sunday:  9:00 AM-5:00 PM
Monday:  9:00 AM-9:00 PM
Tuesday:  9:00 AM-9:00 PM
Wednesday:  9:00 AM-9:00 PM
Thursday:  9:00 AM-9:00 PM
Friday:  9:00 AM-9:00 PM
Saturday:  9:00 AM-9:00 PM
* First Name: * Callback Number: 
* Last Name:  Pick Up Date:
Date of Birth:   (mm/dd/yyyy) Pick Up Time: 
* Rx Number(s):
Use commas to separate if entering more than one prescription.
E-mail Address:  (if you want e-mail confirmation of this refill)
* is a required field.


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