Perkins Pharmacy - Your Home Town Corner Drug Store Since 1909

To better serve you our customers, we now have an online ordering email system. Just simply fill out the form with the items that you need and click on the SUBMIT button at the bottom. Next time you visit our store we will have these items waiting for you as ordered. If you have any questions or suggestions please email us at orders@perkinspharmacy.com.

Full Name:
Street Address:
City:
State:
Zip or Postal Code:
Phone #:
E-mail address:

Prescription Refill Order
	Presciption Number	Quantity
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6.

Regular Orders
	Product Description	Quantity
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If all the information you entered is correct then click on the SUBMIT button to email us your order and we will have it ready for you to pick up at the store.

Perkins Pharmacy
129 N. Pine St., DeQuincy, LA 70633-0338
Ph (337) 786-6111 or 1-877-WELLSTR (1-877-935-5787)
Fax (337) 786-4499
Email info@perkinspharmacy.com

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