My account

First Name *

Last Name *

Phone *

Address Line 1 *

Address Line 2 (optional)

Province * Select an option…AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Territory

City *

Zipcode *

Email address *Required

Password *Required

Date of Birth *

Gender * MaleFemale

Health Card *

By selecting “I Agree,” I confirm that I have read and understood this consent form and agree to the terms outlined. *Test

Medical Condition *

Special Services (optional)

Would you like to transfer all your medication to main drug mart IDA (optional) NoYes

Pharmacy Name (optional)

Pharmacy Phone Number (optional)

Have you had any prescriptions filled at our pharmacy before (optional) NoYes

Register