Sign Up

Download our NEW Mobile App!

Already Signed Up? Click here to log into your account.

First Name

Last Name

Address

City

State

Zip Code

Active Rx Number

Gender

Birth Date (XX/XX/XXXX)

Email Address

Select Security Question

Your Security Answer

Contact Us

Hazel Green Pharmacy
13574 Highway 231-431 N, Suite B, Hazel Green, AL 35750
(256) 813-0150 - (256) 813-0149