Menu

Services Cancer Check Lab Retail Pharmacy Prescriptions Compounding Medication Adherence Medication Therapy Management Immunizations Pet Care Delivery Consultations Flu and Strep Testing Travel Vaccinations Home Equipment ConvaCare Reviews Locations Employment

Menu

Services
- Cancer Check Lab
About Us
Services
- Cancer Check Lab
About Us

Services
- Cancer Check Lab
About Us

Patient and Contact Information

First Name *

Last Name *

Phone *

Who is this prescription for? *

Who is this prescription for?

Dependent First Name

Dependent Last Name

Patient Date of Birth *

Previous Pharmacy Information

Previous Pharmacy Name *

Previous Pharmacy Phone *

Prescription Information

Which Prescriptions Should We Transfer? *

Transfer all of my prescriptions

Transfer only the medications listed below

Transfer 1

Transfer 2

Transfer 3

Transfer 4

Transfer 5

Prescription Fulfillment

How would you like to receive your prescription? *

How would you like to receive your prescription?

Additional Details

Additional Comments Regarding Your Transfer

The Village Pharmacy Bloomfield Hills

Phone: (248) 644-6337
Fax: (248) 644-1027
Email:
Address: 3592 W Maple Rd, Bloomfield Hills, 48301

Contact Us

Drugstore2Door

Terms of Use
DS2D Privacy Policy
HIPAA Privacy Notice

Copyright © 2026 Drugstore2door, LLC. All Rights Reserved. Photographs and pharmacy logo courtesy of The Village Pharmacy Bloomfield Hills.