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Order Forms
To purchase medications from our Canadian Pharmacy, you will need to fill out our Patient Questionnaire Forms. Please make the appropriate choice below and follow the instructions.
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CanTrustRx Pharmacy
# 1 - 733 Pembina Highway Winnipeg, Manitoba Canada R3M 2L8 License #: 32599 Phone: 1-800-640-2221 Fax: 1-800-640-5553 o/o CanTrustRx Inc.
CanTrustRx Pharmacy
# 1 - 733 Pembina Highway Winnipeg, Manitoba Canada R3M 2L8 License #: 32599 Phone: 1-800-640-2221 Fax: 1-800-640-5553 o/o CanTrustRx Inc. 
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