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Our Services
Customized Medications
Opthalmic Drops
Men’s Health
Women’s Health
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Kaiser Permanente Members
Fill/Refill Rx
Rx Bill Pay
Auto-Refill Program
Resources
How to Apply Eyedrops
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Patients
New Patients
Fill/Refill Rx
Rx Bill Pay
Auto-Refill Program
Resources
How to Apply Eyedrops
Credit Card Authorization Form
Providers
FAQ
Home
About
About Us
Accredited Partners
Contact
Services
Our Services
Customized Medications
Opthalmic Drops
Men’s Health
Women’s Health
Hormone Replacement Therapy
Kaiser Permanente Members
Kaiser Permanente Members
Fill/Refill Rx
Rx Bill Pay
Auto-Refill Program
Resources
How to Apply Eyedrops
Credit Card Authorization Form
Patients
New Patients
Fill/Refill Rx
Rx Bill Pay
Auto-Refill Program
Resources
How to Apply Eyedrops
Credit Card Authorization Form
Providers
FAQ
Home
New Provider Enrollment
New Provider Enrollment
Provider Enrollment Form
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Provider Information
Please complete this form to set up your Prescriber profile in our system.
Information services
Contact Name
*
First
Last
Role at Clinic:
*
Practice Name
*
Phone Number
*
Email Address
*
Practice Website:
*
Address
*
What services do you offer at your clinic?
*
Ophthalmology
Men's Health
Women's Health
BHRT
** As a 503a pharmacy, Rancho Park Pharmacy only fills patient specific prescriptions and does not dispense in-office stock
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Our Pharmacy Hours
Monday - Friday: 9am - 6pm
Saturday: 9am - 12pm (phone hours)
Sunday: Closed
Rancho Park Location
