Discount Drug Mart, Inc First Name * : Last Name * : Primary Phone Number * : Secondary Phone Number : Other Phone Number : Email *: Pharmacy School * : Are you CPR Certified? * YES NO Are you a licensed pharmacy intern? * YES NO If yes, please enter license number. If No, enter NA Are you willing to support our vaccination efforts within our Discount Drug Mart community pharmacies? * YES NO Are you willing to support our vaccination efforts at off-site clinics, such as school district immunization events? * YES NO From what City will you be commuting? From what State will you be commuting? AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareEVCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming From what zip code will you be commuting? I am willing to drive: -to the nearest Drug Mart only, within * miles from my residence Store List Str#AddressCityCountySTZipPhoneFax 1500 Abbe Road NElyriaLorainOH44035(440) 365-8319(440) 365-9839 2300 N Leavitt RoadAmherstLorainOH44001(440) 984-2439(440) 984-2579 31673 Pearl RoadBrunswickMedinaOH44212(330) 225-9615(330) 273-8315 433382 Walker RdAvon LakeLorainOH44012(440) 933-2327(440) 933-5039 515412 Detroit AveLakewoodCuyahogaOH44107(216) 226-0600(216) 226-9329 7135 Harding StMedinaMedinaOH44256(330) 725-7117(330) 722-6334 824485 Lorain RdN OlmstedCuyahogaOH44070(440) 734-3880(440) 734-8923 1027300 Detroit RdWestlakeCuyahogaOH44145(440) 871-6077(440) 871-8440 143700 Milan RdSanduskyErieOH44870(419) 625-0733(419) 625-3477 1517815 Puritas AveClevelandCuyahogaOH44135(216) 267-4630(216) 267-3979 16307 W Walton StWillardHuronOH44890(419) 935-6211(419) 935-4018 174170 Fulton RoadClevelandCuyahogaOH44144(216) 741-3993(216) 741-6402 186160 Brecksville RdIndependenceCuyahogaOH44131(216) 524-1835(216) 524-2295 192253 Colorado AveLorainLorainOH44052(440) 288-0191(440) 288-9579 213889 East 71st StClevelandCuyahogaOH44105(216) 341-7370(216) 341-2166 2312289 Leavitt RoadOberlinLorainOH44074(440) 774-5212(440) 774-5210 24420 Cleveland Rd EHuronErieOH44839(419) 433-4565(419) 433-5189 258500 Mentor AveMentorLakeOH44060(440) 255-0040(440) 255-2591 26238 Second St NWNew PhiladelphiaTuscawarasOH44663(330) 339-6040(330) 339-1195 27814 North Main StWellingtonLorainOH44090(440) 647-6634(440) 647-3436 288191 Columbia RdOlmsted FallsCuyahogaOH44138(440) 235-8787(440) 235-1779 294208 Liberty AveVermilionLorainOH44089(440) 967-3000(440) 967-0294 30629 Beall AveWoosterWayneOH44691(330) 264-8404(330) 262-6123 31725 East 200th StEuclidCuyahogaOH44119(216) 531-1700(216) 531-2179 324044 Fishcreek RdStowSummitOH44224(330) 688-6140(330) 688-6950 33655 Portage TrailCuyahoga FallsSummitOH44221(330) 923-8332(330) 923-0606 3412575 Chillicothe RdChesterlandGeaugaOH44026(440) 729-2400(440) 729-3408 356476 York RoadParma HeightsCuyahogaOH44130(440) 845-6800(440) 845-4686 3634100 Vine StreetWillowickLakeOH44095(440) 942-3330(440) 942-5016 37201 Cline StNorwalkHuronOH44857(419) 668-3024(419) 668-4026 386148 Dunham RdMaple HeightsCuyahogaOH44137(216) 663-4711(216) 663-4910 401005 High StreetWadsworthMedinaOH44281(330) 334-5811(330) 334-5308 4113123 Detroit AveLakewoodCuyahogaOH44107(216) 529-9100(216) 529-9599 424730 Hills and Dales Rd NWCantonStarkOH44708(330) 477-1558(330) 477-3224 431155 E Wyandot AveUpper SanduskyWyandotOH43351(419) 294-5900(419) 294-5909 441631 Claremont AveAshlandAshlandOH44805(419) 281-7880(419) 281-8385 45711 Canton RoadAkronSummitOH44312(330) 794-1181(330) 794-1151 461695 North Main StNorth CantonStarkOH44720(330) 497-9393(330) 497-6525 488459 Washington StChagrin FallsGeaugaOH44023(440) 543-8844(440) 543-8822 495500 Wallings RoadNorth RoyaltonCuyahogaOH44133(440) 230-9100(440) 230-1665 501145 Alliance Rd NWMinervaCarrollOH44657(330) 868-3252(330) 868-3370 514925 Portage St NWNorth CantonStarkOH44720(330) 966-2115(330) 966-4553 523015 N Wooster AveDoverTuscawarasOH44622(330) 343-7700(330) 343-9908 551763 East Main StKentPortageOH44240(330) 678-3001(330) 678-3266 56240 W Central AveSpringboroWarrenOH45066(937) 748-3000(937) 748-3100 574441 State Route 725BellbrookGreeneOH45305(937) 848-3700(937) 848-3773 581575 Lyons RoadCentervilleMontgomeryOH45458(937) 439-9779(937) 439-5443 5925 Briggs DriveOntarioRichlandOH44906(419) 529-8101(419) 529-9301 603032 N Ridge Rd EAshtabulaAshtabulaOH44004(440) 998-0663(440) 998-0679 61107 S Chestnut StJeffersonAshtabulaOH44047(440) 576-3111(440) 576-4033 6233552 Detroit RdAvonLorainOH44011(440) 937-4510(440) 937-4515 63592 12th St NWCarrolltonCarrollOH44615(330) 627-9005(330) 627-5626 645863 Darrow RoadHudsonSummitOH44236(330) 342-5500(330) 342-5522 658951 S Old State RdLewis CenterDelawareOH43035(614) 841-7555(614) 841-0070 67845 Hill Road NPickeringtonFairfieldOH43147(614) 920-3330(614) 920-9772 685599 N Hamilton RdColumbusFranklinOH43230(614) 472-0972(614) 472-0979 69661 Wooster StreetLodiMedinaOH44254(330) 948-0520(330) 948-0522 70219 Mansfield AveShelbyRichlandOH44875(419) 347-8055(419) 347-8820 715298 Detroit RdSheffield VillageLorainOH44035(440) 934-3840(440) 934-3844 721062 W McPherson HwyClydeSanduskyOH43410(419) 547-4000(419) 547-4001 737617 Dayton-Springfield RdFairbornClarkOH45324(937) 863-0045(937) 863-0050 762290 Stringtown RdGrove CityFranklinOH43123(614) 539-4880(614) 539-4881 776172 Tylersville RdMasonWarrenOH45040(513) 754-1361(513) 754-1363 78110 Chestnut Commons DrElyriaLorainOH44035(440) 366-6785(440) 366-6790 79739 Carter DrGalionCrawfordOH44833(419) 468-3139(419) 468-3153 803100 Glenwood Blvd Ste 294TwinsburgSummitOH44087(330) 405-6650(330) 405-6655 81525 W Marion RdMount GileadMorrowOH43338(419) 947-1404(419) 946-1399 82765 Alpha DrHighland HtsCuyahogaOH44143(440) 684-1142(440) 684-1757 835923 Wooster PikeMedinaMedinaOH44256(330) 721-0600(330) 721-0612 8413919 Prospect RdStrongsvilleCuyahogaOH44149(440) 238-2400(440) 238-2766 855270 Center RoadBrunswickMedinaOH44212(330) 273-8300(330) 220-3846 8638 S Medina Line RdCopleyMedinaOH44321(330) 670-0060(330) 670-0061 878023 Crile RdPainesvilleLakeOH44077(440) 853-2542(440) 358-1583 887626 State Route 45LisbonColumbianaOH44432(330) 870-1190(330) 424-4881 89"2710 Easton St NE Ste A"CantonStarkOH44721(330) 526-7423(330) 493-9727 909318 Broadview RdBroadview HtsCuyahogaOH44147(440) 652-4115(440) 526-6440