Pain Pill Order Form
To place an order by phone or to submit Credit-Debit Card information call 1-281-726-4790.
This order form is for legitimate people that are submitting their information to our doctors. For this reason the I.P. address will be recorded when you hit "Submit".
PainPillPharmacy.com For IL, GA, MD, NM, UT and WV prescription drug orders go to this recommended website