Easy Transfer | Welltopia

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*Name

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*Address

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Drug Insurance Coverage (choose all that applies)

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Current Pharmacy info (If more than one pharmacy, please add)

Pharmacy

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Pharmacy

Pharmacy Addresss

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List of current medications

What services you are interested in? Check all that applies

All In One Welltopia

Meds in Regular Vials

Consultation

High Quality supplements

Compounding

By filling this form, you authorize Welltopia pharmacy to transfer your prescriptions to Welltopia and to contact you in connection with pharmacy services via live and text messages at the phone number provided above. Your consent is not a condition of purchase or receipt of services and may be revoked at any time. Your carrier’s message and data rates apply.

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Welltopia Pharmacy is Ozaukee County’s new premier destination for integrative wellness.

262-429-9429
136 N Main Street, Thiensville, WI

WORKING HOURS

MON-FRI: 9:00 am – 6:00 pm
SAT: 9:00 am – 2:00 pm

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* These statements have not been evaluated by the Food and Drug Administration. This products are not intended to diagnose, treat, cure, or prevent any disease.

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