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The Drug Store

The Drug Store logo - the pharmacy that treats you like family

11121 N. Rodney Parham
Little Rock, AR 72212

Phone: 501-223-2636

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COVID-19 vaccination and information

Sign up to be notified when it’s your turn to schedule your COVID vaccination

Sign up

Required consent form and vaccine information forms

forms

COVID information from the Centers for Disease Control and Prevention

CDC website

Important

Currently, 2 vaccines are used in the US: the Pfizer and the Moderna vaccines.

Which one we will administer on any given day depends on what supply we’ve been provided. Therefore we can’t tell you ahead of time which vaccine you will get. Nor can we accommodate individual preferences for the first dose.

Both vaccines require 2 doses to be fully effective. When you come in to receive your first dose, we’ll schedule your follow-up appointment for the second dose at that time and ensure that you get the correct vaccine for the second dose.

Forms

Consent form

Please download, print and fill out this form and then bring it with you when you come in for your vaccination.

Consent form >

Vaccine documentation

The consent form asks you to verify that you have read and understand the data sheets for the COVID-19 vaccine.

Depending on what we have available and are dispensing on the particular day that you are scheduled for your vaccination, you will receive either the Pfizer or Moderna vaccine. Therefore we ask you to read the data sheets for both vaccines:

Pfizer vaccine >

Moderna vaccine >

Sign up

Signing up here will ensure you are notified when we have the COVID-19 vaccine available for your group.

At that time you will be contacted by email and provided a link to schedule your vaccination appointment.

We may also send a text message to the phone number you enter on this form, or call you at that number to schedule your vaccination.

Because we only have limited vaccine availability, you must have an appointment to receive the vaccine.

If your receive the vaccine elsewhere or your group status changes, it is important that you notify us immediately at info@thedrugstorelr.com or 501-223-2636.

We’ll also email you periodic updates on the vaccination process.

Please note that each person must sign up individually.

* = Required information

  • Please enter a number from 1 to 120.
  • Note: For phase 1A, you will be required to provide proof of employment or group 1A status.
  • Enter any additional information, relevant to your COVID vaccination
  • We will treat your information in accordance with our Privacy Policy.
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The Drug Store logo - the pharmacy that treats you like family

11121 N. Rodney Parham
Little Rock, AR 72212

Phone: 501-223-2636
Fax: 501-224-5253

m-f: 8:30-6:30
sat: 8:30-3:30
sun: closed

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