Easy Prescription Order Prescription InfoNew Prescription or Refill?*New PrescriptionRefillAttach your Prescription / Take Photo of Prescription* Drop files here or Accepted file types: jpg, pdf. Please keep your original prescription and provide to our team while picking up, or upon delivery.How would you like to receive your prescription?*DeliveryPickupWhen would you like your Prescription?*Next Business DayToday - Between 9:00 AM - 5:00 PMUrgent - within 2 hoursPlease enter any special instructions:Your InfoNew to Millennium Pharmacy?*YesNoFull Name*Birth Date* MM DD YYYY Phone*Email NameThis field is for validation purposes and should be left unchanged.