Rankos Stadium Pharmacy - Three generations Serving Tacoma Families for Over 70 Years
 
Rankos Refill Request Form 

To order your refill online, complete the form below & submit.

You may pick up your prescription(s) at Rankos Stadium Pharmacy, 
or you can have them delivered to your home or office.

Please note in the comment section if you would like your prescriptions delivered. 


Free Daily Delivery to your Home, Office, or Facility

Please provide us with your name (First and Last).
Please enter your phone number where you can be reached.
Please enter your email address (required).
Please enter the prescription number(s) you want to refill at this time. The prescription number is listed on your prescription label. ALL PRESCRIPTION(S) ENTERED MUST MATCH THE LAST NAME ENTERED ABOVE.
Pleasse include any comments about your prescription(s).
Please list Doctor's Name who wrote the prescription(s).
Would you like us to contact your doctor if your prescription(s) needs authorization. Yes/No
Will your prescription be
Please write in special delivery instructions or comments:
 
 
Returns or exchange of prescription drugs, medicines, 
sick room supplies, and items of personal hygiene is prohibited 
by Washington State Law.