Danton Pharmacy Prescription Services

Transfer Prescription

Use this form to transfer your prescriptions from a different pharmacy to Danton Pharmacy.

Patient Name: Date of Birth: Phone Number: Old Pharmacy Name: Old Pharmacy Phone Number: Medication Name:

+ Add Another Medication

Store Location: Select Location Danton Pharmacy - Mississauga Danton Pharmacy - Oakville Pickup or Delivery:

Store Pickup Home Delivery

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* All transfers are subject to pharmacy and regulatory review.