Online Customer Request

Letterkenny – Ballyraine Pharmacy

Please fill out the below form in order to request a prescription to collect in store. Please note this is not an ordering service, and does not take payment, but a request.

Please fill out the below form.

    Upload an image of your prescription request. (optional - only if we don’t have it on file.)


    Any shop essentials or over the counter remedies required? If so, please list..

    Please select your payment method:

    Pay in-storePay over the phone

    Date for collection

    We will contact you when your request has been completed - thank you for your patience.

    Call

    074 910 6444

    Monday - Saturday

    9.00 AM- 6.00 PM

    Text

    087 969 3320

    Location

    Unit 1, Park Houise Ballyraine, Letterkenny, F92 HW28

    Email

    ballyraine@healthwisepharmacies.ie

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