Nominate a pharmacy

Full Name:

Date of Birth:

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Phone Number:

Email Address:

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We are able to dispense to patients who live more than 1 mile from a chemist. If you are unsure if we can dispense to you leave the My chosen Pharmacy box as Swallowfield and we will check. If we are unable to dispense to you we will contact you to choose a pharmacy.

My chosen Pharmacy is:

Day Lewis Chemist, Welford House

Shinfield Pharmacy, Shinfield Primary Care Centre

Whitley Wood Pharmacy, Northumberland Avenue

Boots Pharmacy, Asda Mall

Other

Pharmacy Name:

Pharmacy Address:

Pharmacy Postcode:

Not sure what your closest pharmacy is?

Use the NHS Find a Pharmacy tool.

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