Classic Pharmacy Delivery

Please submit this form and a copy of your insurance card for delivery of your prescription from Classic Pharmacy to Wagner College.  A new prescription may need to be obtained from the Wagner College Center for Health and Wellness.

Classic Pharmacy

This form will provide Wagner College and Classic Pharmacy with your Insurance information in order to fill your prescription.
  • Yes or No
  • Supply Insurance Company Prescription Card Information.
  • Every Prescription Card has a BIN #. If there is not a BIN # then it is probably not your Prescription Card.
  • Classic Pharmacy: 718-727-0022
  • Signature required upon delivery
  • This field is for validation purposes and should be left unchanged.

Walking Map from Wagner College to Classic Pharmacy

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