We’ve launched a new website!
Click “Sign Up Today” to create a new account, (previous usernames and passwords will no longer work)
to access your profile, manage prescriptions, and enjoy an improved experience.
We also have a NEW mobile app coming soon!

81 North Main Street, Victor, ID 83455 | Phone: (208) 787-3784 | Fax: (208) 787-3763 | Mon-Fri 9:30am - 5:30pm | Sat-Sun Closed

New Patient

We would love the opportunity to serve as your trusted prescription provider.
Please fill out the form below and we will take it from here!

First Name

Last Name

Address

City

State

Zip Code

Email Address

Phone Number

Birth Date (XX/XX/XXXX)

Alternate Contact Name

Alternate Contact Phone Number

Allergies

Optional Prescription Information

Auto Refill My Scripts

Send Text Notifications

Send Email Notifications

Previous Pharmacy Name

Previous Pharmacy Phone Number

Rx Number

Medication Name and Strength

Rx Number

Medication Name and Strength

Rx Number

Medication Name and Strength

Rx Number

Medication Name and Strength

Message to Pharmacist

Our commitment to patient care and health is priority one here at Victor Drug.

We believe in the value of providing personalized service and quality products.

Site Navigation

Contact Us

Victor Drug
81 North Main Street, Victor, ID 83455
(208) 787-3784 - (208) 787-3763

We’ve launched a new website!Click “Sign Up Today” to create a new account, (previous usernames and passwords will no longer work)to access your profile, manage prescriptions, and enjoy an improved experience.We also have a NEW mobile app coming soon!

New Patient

New Patient

Optional Prescription Information

Site Navigation

Contact Us

We’ve launched a new website!
Click “Sign Up Today” to create a new account, (previous usernames and passwords will no longer work)
to access your profile, manage prescriptions, and enjoy an improved experience.
We also have a NEW mobile app coming soon!