Craig and Hayward
Your One Stop Specials Shop

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Pharmacy/Dispensary Name *
Address 1 *
Address 2 *
Town/City *
Post Code *
Telephone *
Email *
Ordered By *
Patient Name/Order Ref *
Prescription Details and Quantity
Please include special instuctions if necessary *
Name and Reg No of Pharmacist *
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If you prefer you can download an order form, fill it in and fax it to us. You can also place your order by telephone on 0845 601 8258: Click to download order form. DOWNLOAD ORDER FORM

 
Craig and Hayward Ltd
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