This site has limited support for your browser. We recommend switching to Edge, Chrome, Safari, or Firefox.

A Family-Friendly Pharmacy Located in the Heart of Southern Village

Can we store cookies?

Broadcast uses cookies to improve your browsing experience.

Use coupon code WELCOME10 for 10% off your first order.

Cart 0

Congratulations! Your order qualifies for free shipping You are $1,000,000,000 away from free shipping.
No more products available for purchase

Products
Pair with
Is this a gift?
Subtotal Free
Shipping, taxes, and discount codes are calculated at checkout

Your Cart is Empty

Home
Save On ED Meds
Rx Refills
Become A Customer
Contact Us
Our Community
Find Us
About Us
News & Events

Feel free to call our friendly staff at (919) 240-4084 if you have any questions.

New Patient Form

Date of Birth:

Preferred Method of Contact
Interested in talking to a pharmacist about our Automatic Refill Reminder Programs?

Medication Allergies:

Medical Conditions:

Special Requests:

Additional Information

Insurance Information (if Applicable)

Prescription Insurance Plan Name:

BIN #

PCN #

RX Group #

Card Holder ID#

Relationship of Patient to Cardholder:

Fields marked with an asterisk (*) are required.

This site is protected by hCaptcha and the hCaptcha Privacy Policy and Terms of Service apply.