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Global Pharmacy Canada Order Form

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Download and Print

Our Global Pharmacy Canada online shopping cart has 128-bit SSL encryption which protects the information you send over the internet, including your personal information and credit card data. However, if you prefer, you can order offline. To place an order offline, follow these steps:

  • Download our Printable Order Form in English or Spanish
  • Printout this document
  • Lookup up the prices of your medications on the website
  • Fill-in the order form with your medications
  • Complete the rest of the form
  • Mail your completed order form along with your prescriptions to the following address:
    Global Pharmacy Canada, Inc.
    c/o RX Processing Services, Inc.
    1090 Dundas Street East Suite 106
    Mississauga Ontario
    L4Y 2B8
    Canada
    Or by fax: (866)655-8460 - toll-free
  • For faster service, you can scan and e-mail your completed order form and prescriptions to This e-mail address is being protected from spambots. You need JavaScript enabled to view it , or send by toll-free fax to (866)655-8460

For customers placing a prescription reorder via mail, email or fax
use our convenient Patient Re-Order form.

 

Contact Us

Global Pharmacy Canada
c/o RX Processing Services
1090 Dundas Street East
Suite 106
Mississauga Ontario
L4Y 2B8 Canada
P: 866-850-6021 toll-free
F: 866-655-8460 toll-free
Contact Form

Our 100% Guarantee

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Shop With Confidence

Please note that we do NOT deal with any Canadian pharmacies. Any dispensing of medicine through our company’s network of pharmacies will NOT be regulated by any province or territory of Canada. All the pharmacies we do deal with are fully licensed and regulated by the countries in which they are located.

Customer Testimonials

"My experience in the past with this company has been excellent & I recommend them highly."
Morgan S.

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QUICK REFERENCE

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New Customers
Order Form


Existing Customers
Re-Order Form


All Customers - Price List or shop online.

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