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Delivery / Collection of Medication request form.

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​Requirements
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  • ​Full Name & Surname
  • Residential Address
  • Delivery Address* excludes collection
  • Contact Details

  • ​​Medical Aid Details* excludes private patients

 

*We respect your privacy and take protecting it seriously. Pierau Pharmacy covers the collection, use and disclosure of information we collect through our website. The use of information collected through our website shall be limited to the purpose of providing the service for which the Client has engaged Pierau Pharmacy Website.

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If any queries, please contact us.

Find us

8A Murray-Smith Road

Winklespruit

Durban

South Africa

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(Tel):                   031 916 3112

(Tel2):                 031 916 3896

(Fax):                  031 916 7641

(Fax to E-mail): 086 774 4179

(E-mail):              pierau@mweb.co.za


 

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​*Note: All information and products contained in the website is designed for educational purposes only. It is not intended to be a substitute for informed medical advice or care. You should not use this information to diagnose or treat any health problems or illnesses without consulting your healthcare professional.

 

Copyright © 2015 Pierau Pharmacy. All rights reserved.

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