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Customer Service

Please complete the following as thoroughly as possible to expedite your request: (Note: if you are an existing client with a new prescription click here.) all required fields are marked - * Personal Information First name* Last name* Address* City* State* Zip* Daytime Phone Evening Phone E-Mail* DOB* Sex Male Female Are you allergic to any medications? Yes No If yes, please list the medications here: If we need to contact you, what is the best way to reach you? E-Mail Daytime Phone Evening Phone Mail Insurance Information Insurance Company ID # Group # Insurance Company Phone # Prescribing Physician Information Physician name Office Phone Prescription Information You can send us the prescription information one of the following ways: Mail - you can mail the original prescription to us at: -------- B&B Pharmacy 10244 Rosecrans Av, Bellflower CA 90706 -------- Fax - you can fax the prescription to us at: -------------- 800-705-8964 -------------- Doctor - your doctor can call the prescription in at: ------------- 800-231-8905 ------------- Have us call - we can call your doctor to get the prescription information. (Make sure you have provided the doctor's office phone number above) Enter the name of the medication here: Enter the name of the medication here: Enter the name of the medication here: Enter the name of the medication here: Enter the name of the medication here: Method of Delivery Please select the method of delivery for your prescription(s): Free shipping by UPS or FedEx Free citywide delivery in the Bellflower, Downey Metro Area No delivery, prescriptions will be picked up at pharmacy If we need to ship/deliver to a different address than the one you entered above, please list it here: Address City State Zip Additional Information Enter any additional information you feel is necessary here: