Citizen Pharmacy Jacksonville | Viagra and Cialis Best Prices

Please fill out the applicable fields accurately. This information will be used for all future records with us.

Please read carefully and check this box before you submit

I acknowledge that Citizen pharmacy management preserve the right to suspend, eliminate any accounts with fraudulent, untrue, inaccurate information and refuse any and all current and future uses by these account holders, such action will be taken without any prior notice. Since any termination of your access to https://Citizen Pharmacy.com/ and/or Citizen Pharmacy App may take effect without prior notice, you acknowledge and agree that we may immediately deactivate or delete your account and all related information and files in your account and Deny any further access to such files. Furthermore, you agree that we shall not be accountable to you or any third party for any termination of your access to your account.

New patient enrollment

Thank you for choosing us for the medication care needs for you and your family. Let us begin with some of your details so we can create your file and get ready to serve you.

Please read carefully and check this box before you submit

Need help? You can stop by our pharmacy or call us on our toll-free number 844-224-8493 regarding any questions about this form.