Authorization
You authorize your licensed providers to share the health information needed to fill and ship your prescription with licensed U.S. pharmacy partners, and with laboratories when lab work is ordered for you.
Your rights
You may revoke this authorization in writing at any time, except to the extent action has already been taken. Refusing to sign does not affect your eligibility for care, but we may be unable to fill prescriptions without it.
Contact
THE SPACE EMPIRE LLC, 1271 NE 9th Avenue, Fort Lauderdale, FL 33304