Classic Pharmacy

Please submit this form and a copy of your insurance card so your prescription can be filled by Classic Pharmacy.  A new prescription may need to be obtained from the Wagner College Center for Health and Wellness.  All prescriptions will need to be picked up from Classic Pharmacy beginning March 12, 2020 until further notice.

Classic Pharmacy

This form will provide Wagner College and Classic Pharmacy with your Insurance information in order to fill your prescription.
  • I agree to pick up my prescription.
  • 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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