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Medical Card or GP Visit Card
Patients Repeat Prescriptions
You must enter a valid Medical Card/GP Visit Card number or the prescription will not be issued.
Please note you will need to leave at least 24 hours before you pickup your prescription at the pharmacy.
Name
Email Address
Address
Address Line 1
Address Line 2
All previous medication?
Yes
No – just items listed below
Specific Medications (Optional)
Select Pharmacy
McDowells Pharmacy, Green St, Callan
Callan Pharmacy, Friary Walk
Stacks/Costellos Pharmacy, Green St, Callan
Madigans Pharmacy, Green St, Callan
Mari Mina Pharmacy, Mullinahone
Boots High Street, Kilkenny
Boots McDonagh Junction, Kilkenny
Sam McAuley, High Street, Kilkenny
Sam McAuley, Loughboy, Kilkenny
Whites Pharmacy, Kilkenny
Pharmacy Hub, Kilkenny
Mulligans Pharmacy, Smithlands Kilkenny
Keanes Pharmacy, John Street Kilkenny
McEneaneys Pharmacy, Kilkenny
Other please specify
Other Pharmacy (Optional)
GP Visit Card/Medical Card Number
Submit
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