Request New Prescriptions

 


By clicking on the "PRINTABLE MAIL ORDER FORM" link, you will be able to print a mail order form.

PRINTABLE MAIL ORDER FORM

You must have Adobe Acrobat Reader installed on your computer to open this file. If you do not have this free plug-in already installed, click on “Get Acrobat Reader” to download the software.



Please allow 14 days for delivery from the date you mail your order.

Mailing Address:
Maxor Pharmacies
P.O. Box 32050
Amarillo, Texas 79120-2050

 

   

 
| | | | |