Online order form

Please note that orders placed using this form after 2 p.m. will be processed the following business day.

Orders placed on weekends using this form will be processed on the next business day.

All returns must be accompanied by official Pharmacare receipts. Only unopened, undamaged boxes purchased in the current year may be returned. Some exceptions apply. Special order items are non-returnable.

Order Supplies

* Required Fields

Name*
First Last
Email*
Address for delivery*
Street Address Address Line 2 City Province Postal Code
Phone Number*
Delivery or Pick-up*
- Delivery
- Pick-up
Allow 1-3 business days
Payment*
- Credit Card on file
- Call for my credit card number
- Other
Please note that charges will appear on your credit card statement as Westminster West End Pharmacy.
Other Payment Instructions
Product Number or Description Quantity
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Product Number or Description	Quantity