631 N. Van Dyke
Imlay City, MI 48444
1-800-672-2177
FAX: 1-810-724-3303
E-MAIL: customer_care@ccc-rx.com


How do I fill an Rx?
Please fill out the Rx fill form below and your request will be delivered to the pharmacy immediately.

RX Number 1 RX Number 2
RX Number 3 RX Number 4
Address:
Line 1:
Line 2:
City: State: Zip:
Name:
Phone Number:
E-Mail Address:
Method of Delivery:
Method of Payment:
Instructions for the Pharmacist:


Please allow 2-3 minutes for your request to be delivered to the Creative Compounding Centers computer network.