COVID-19 VACCINE REGISTRATION

Please follow the steps below to request a COVID-19 Vaccine. 
  • You have the choice of Pfizer (2 dose series) or Moderna (2 dose series) or Johnson & Johnson (1 dose).
  • If you get the Pfizer or Moderna vaccine, we will reach out to you to schedule your second dose.
  • You are required to be 12 years of age or older to receive the Pfizer vaccine and 18 years of age or older to get the Moderna or Johnson & Johnson (1 dose).
  • You must stay at the pharmacy for 15 minutes after your shot.
  • Please upload your prescription insurance information.
  • If you do not have insurance we need your ID, Driver's License or SSN.
  • For more information about the vaccine, click the links below.

1

FILL OUT THE REQUEST FORM

Fill out the Vaccine Request Form in its entirety.

2

NO APPOINTMENTS NECESSARY, JUST WALK INTO THE PHARMACY TO GET YOUR COVID-19 SHOT.

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