top of page
Milart Pharmacy
300 S. Beverly Drive #100
Beverly Hills, CA 90212
rx@milartrx.com
HOME
RX REFILL
ABOUT
More
Use tab to navigate through the menu items.
Get Directions
Business Concierge Onsite
COVID-19 PCR TEST Insurance
Please Fill Out The Form Below Or Call Us Today 310-553-0225
First Name
Last Name
Date of Birth
Upload front photo of health insurance card (Must be legible or delay in processing)
Upload photo of health insurance card
Upload supported file (Max 15MB)
Upload photo of back of health insurance card (Must be legible or delay in processing)
Upload photo of health insurance card
Upload supported file (Max 15MB)
Business/Office Name
Submit
Thanks for submitting!
We have received your information.
bottom of page
