Contact Us

Contact Form

Thank you for your interest in Thrive Pharmacy. If you would like to send us a message, please fill out all the fields below and click the submit button.

<form-template> <fields> <field required="true" type="text" name="first-name" placeholder="First Name*" label="First Name"/> <field required="true" type="text" name="last-name" placeholder="Last Name*" label="Last Name"/> <field required="true" type="text" name="phone-number" placeholder="Phone Number*" label="Phone Number"/> <field required="true" type="text" name="email-address" placeholder="Email Address*" label="Email Address"/> <field type="textarea" name="message" placeholder="Enter your message here..." label="Message"/> </fields> </form-template> Submit