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Patient Information Update
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Physician
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Gender
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Do You Have A Prescription Drug Card?
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If Yes, What is the Cardholder's Name?
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What is the ID Number on the Card?
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What is the BIN number?
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What is the group number?
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What Is Your Relationship To The Cardholder?
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Do You Require SAFETY (Childproof) Caps On Your Medicine?
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Known Drug Allergies
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MEMORIAL EMPLOYEES ONLY
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Do You Want Payroll Deduction?
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If yes, what is your Soc Sec No.
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To transfer your prescriptions to Medical Center Pharmacy - please list the pharmacy phone number, the prescription number, and the name of the medication.
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When do you want the medication ready for pick up?
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Address and Phone
4700 Waters Avenue
Savannah, GA 31404
Tel: (912) 350-6337
Fax: (912) 350-7457
Pharmacy Hours
Monday
8:30-6:00
Tuesday
7:30-6:00
Wednesday
8:30-6:00
Thursday
8:30-6:00
Friday
7:30-6:00
Saturday
9:00-1:00
Sunday
closed