State Street Pharmacy is located in Caro, Michigan between Lincoln and Frank streets. We moved into our current location and opened our doors in 1999. We are committed to our customers to provide the highest level of service at all times and invite you to visit our Pharmacy often.
- Your Prescription Specalists
- Home Delivery Available
Request Prescription Refills Online
- By completing this form you will request that the pharmacy prepare a prescription refill for pickup in the morning or afternoon, the next day. Refills are subject to availability of your medication. We will contact you if your prescription cannot be filled.
- This form is for requesting refills of prescriptions already filled at our store. State law requires that all new prescriptions be delivered in person or be phoned in by your doctor. We gladly welcome transfers of prescriptions from other pharmacies. Please call to have your prescription transferred at no cost to you.
- This refill request is subject to availability of refills on the requested prescriptions. If no refills remain, you must first contact your doctor to obtain a new prescription. Below are instructions for checking your bottle label to determine if refills remain:

The PRESCRIPTION NUMBER is the largest number on the label. It appears in the upper left hand corner of the prescription information. The NUMBER OF REFILLS available with your prescription is shown in the bottom left corner of the label. - If anything about your medical condition or insurance has changed, please add a comment. Your health is important to us -- by giving us this information before we fill your prescription you can avoid delays and unnecessary side effects.
- All personal information submitted on this form will be held in strict confidence and is covered by our Privacy Policy. Please read it carefully before submitting.
Copyright ©2006 Scientific Retail Systems, Inc.
Send a Comment to the Pharmacist
- Please submit your comments or suggestions to the pharmacist using this form. Include your contact information if you'd like the pharmacist to contact you regarding this comment.
- All personal information submitted on this form will be held in strict confidence and is covered by our Privacy Policy. Please read it carefully before submitting.
Health Information Websites
- Life Clinic - A Variety of Information on Health Related Topics
- Club Mom - If You're a Mom, You're a Member
- Health and Aging - Geriatrics, Healthy Aging, and Elderly Care
- American Heart Association - The Official Website
- Health Allies - Various Information and Health Related Topics
- HealthAnswers - Health and Medical Information for Patients
- Merck - The World's Best Selling Medical Manual for the Home
State Street Pharmacy Notice of Privacy Policy
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
DATE OF NOTICE: 03/18/03
SECTION A: Uses and Disclosures of Protected Health Information
1. Under applicable law, we are required to protect the privacy of your individual
health information (information we refer to in this notice as "Protected Health
Information"). We are also required to provide you with this Notice regarding
our policies and procedures regarding your Protected Health Information and
to abide by the terms of this notice, as it may be updated from time to time.
We are permitted to make certain types of uses and disclosures under applicable law for treatment, payment, and healthcare operations purposes. We may obtain information to dispense prescriptions and for the documentation of pertinent information in your records that may assist us in managing your medication therapy or your overall health. For treatment purposes, such use and disclosure will take place in providing, coordinating, or managing healthcare and its related services by one or more of your providers, such as when your pharmacist consults with your physician or a specialist regarding your medications, treatment or condition.
For payment purposes, such use and disclosure will take place to obtain or provide reimbursement for providing pharmaceutical care services, such as when your case is reviewed to ensure that appropriate care was rendered. For reimbursement purposes, your Protected Health Information may be disclosed to one or several intermediaries employed by your plan sponsor including but not limited to insurers, pharmacy benefits managers, claims administrators and computer switching companies.
For healthcare operations purposes, such use and disclosure will take place in a number of ways, including for quality assessment and improvement; provider review and training; underwriting activities; reviews and compliance activities; and planning, development, management and administration. Your information could be used, for example, to assist in the evaluation of the quality of care that you were provided.
We store some of your Protected Health Information in electronic computer files. We backup our electronic records daily and employ other precautions to safeguard the integrity of your Protected Health Information. In spite of these precautions it is possible but unlikely that a computer crash or other technological failure could cause the loss of data. In addition reasonable safeguards are employed to protect your Protected Health Information stored on electronic media.
In addition, we may contact you to provide refill reminders, health screenings,
wellness events, inoculations, vaccinations or information about treatment
alternatives or other health-related benefits and services that may be of
interest to you. In addition, we may disclose your health information to your
plan sponsor.
We may use and disclose your Protected Health Information, without your authorization
when the pharmacy needs to contact a physician or physician’s staff and is
permitted or required to do so without individual written authorization. We
may use and disclose your Protected Health Information if we are contacted
by another pharmacy who states they have your request and consent to transfer
pharmacy records to them.
From time to time we may employ the services of business associates who may assist us in one or more tasks and who may use, change or create Protected Health Information. Business associates are required to comply with all the privacy regulations on your behalf.
We may disclose Protected Health Information about you without your authorization to comply with workers compensation laws, as required by law enforcement, legal proceedings, public health requirements, health oversight activities and as required by law.
Other uses and disclosures will be made only with your written authorization, and you may revoke your authorization by notifying us as described in Section B.
2. You may ask us to restrict uses and disclosures of your Protected Health Information to carry out treatment, payment, or healthcare operations, or to restrict uses and disclosures to family members, relatives, friends, or other persons identified by you who are involved in your care or payment for your care. However, we are not required to agree to your request.
3. You have the right to request the following with respect to your Protected
Health Information: (i) inspection and copying; (ii) amendment or correction;
(iii) an accounting of the disclosures of this information by us (we are not
required to account to you for disclosures made for treatment, payment, operations,
disclosures to you, disclosures to your care givers, for notifications or
as otherwise excluded by law); and (iv) the right to receive a paper copy
of this notice upon request. We may require you to pay for this request to
cover our costs of copying, labor and postage.
In addition, you may request, and we must accommodate the request, if reasonable,
to receive communications of Protected Health Information by alternative means
or at alternative locations. To make this request please contact, in writing:
State Street Pharmacy
Randy Beck, RPh
192 N. State St.
Caro, MI 48723
4. We may use your name to reference your prescriptions and pharmaceutical care services. You may be required to sign a signature log form to acknowledge receipt of service, to acknowledge receipt of this Notice and the disclosure of Protected Health Information as outlined herein. This information may be disclosed by us to other persons who ask for you or your prescriptions by name. You may restrict or prohibit these uses and disclosures by notifying a pharmacy representative orally or in writing of your restriction or prohibition. We are not required to honor those requests. We are able to provide treatment services to you even if you object to sign the acknowledgment of the receipt of this Notice or if we decide not to honor a request regarding the information in this document. In the event of an emergency or your incapacity, we will do in our reasonable judgment what is consistent with your known preference, and what we determine to be in your best interest. We will inform you of any such uses or disclosures if uses and disclosures would require your signed authorization under such circumstances and give you an opportunity to object as soon as practicable.
5. We may disclose to one of your family members, to a relative, to a close personal friend, or to any other person identified by you, Protected Health Information that is directly relevant to the person’s involvement with your care or payment related to your care. In addition we may use or disclose the Protected Health Information to notify, identify, or locate a member of your family, your personal representative, another person responsible for care, or certain disaster relief agencies of your location, general condition, or death. If you are incapacitated, there is an emergency, or you object to this use or disclosure, we will do in our judgment what is in your best interest regarding such disclosure and will disclose only the information that is directly relevant to the person’s involvement with your healthcare. We will also use our judgment and experience regarding your best interest in allowing people to pick-up filled prescriptions, or other similar forms of Protected Health Information.
6. We reserve the right to change the terms of this Notice and to make new Notice provisions effective for all Protected Health Information we maintain. You may receive a copy of this Notice by contacting us as outlined in Section B or upon the receipt of pharmacy care services.
7. If you believe that your privacy rights have been violated, you may complain to us at the location described in Section B or to the Secretary of the Department of Health and Human Services, Hubert H. Humphrey Building, 200 Independence Avenue SW, Washington, DC 20201. You will not be retaliated against for filing a complaint.
Section B: Contacting Us
You may contact us for further information at:
State Street Pharmacy
Randy Beck, RPh
192 N. State St.
Caro, MI 48723
989-672-3500
The State Street Pharmacy web site contains links to third-party web sites. The linked sites are not under the control of State Street Pharmacy, and State Street Pharmacy is not responsible for the contents of any linked site or any link contained in a linked site. State Street Pharmacy is providing these links only as a convenience, and the inclusion of a link does not imply endorsement of the linked site by State Street Pharmacy.
