Transfer Prescriptions | Brotman Medical Pharmacy (310) 204-1111

Flu Vaccines are now available for seniors and everyone ages 2 & up. Walk-ins accepted!
Covid-19 Vaccine and Covid-19 Bivalent Booster now available!
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Transfer Prescriptions

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Transfer Prescriptions

Transfer Prescriptions

We would love the opportunity to serve as your trusted prescription provider.
Please fill out the form below and we will take it from here!

First Name

Last Name

Email Address

Phone Number

Birth Date (XX/XX/XXXX)

Pharmacy Name

Pharmacy Phone Number

Rx Number

Medication Name and Strength

Rx Number

Medication Name and Strength

Rx Number

Medication Name and Strength

Rx Number

Medication Name and Strength

Message to Pharmacist

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Brotman Medical Pharmacy
3831 Hughes Ave, Suite 100, Culver City, CA 90232
(310) 204-1111 - (310) 204-0295

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