Bierer's Pharmacy, Lexington Virginia's Compounding Specialists

Bierer's Pharmacy
146 South Main St
Lexington, Virginia 24450

consultation type :

full name :

address :

phone :

email :

sex :

height :

weight :

do you drink alcohol , if yes how much how often?

do you smoke , if yes how much?

do you consume caffine , if yes what type and how much?

do you excercise , if yes what type and how often?

please describe your diet:

list any prescription or non-prescription medications or supplements you take:

any medication allergies?

please list the five main complaints you have in the order of decending importance:

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