Like most websites, our site uses cookies. By using the site, you are agreeing to our use of cookies.


We're good with energy, good with the environment

Why Choose Us Switch to Us Compare Our Prices


Providing fantastic holidays for our customers for years

Package Holidays Ski Holidays Personal Travel Assistant


Dedicated to the health and wellbeing of our customers

Pharmacy Online Doctor Prescription Services


Dedicated to providing the best care and education

Visit Childcare Visit Pre-School Parent Zone


We also offer a complete range of memorial options

Visit Funeralcare Memorials Remembered Forever


Highest quality, locally and ethically sourced food

Visit Food Magazines

Post Office

74 Post Offices from city centres sites to rural areas

Visit our website

Flexible Benefits

Leading benefits provider

Visit our website The Benefits

Private Prescriptions Form

If you have a private prescription we can fulfill this for you - either you can visit one of our many Pharmacies or you can get your medication to delivered to you.

3 simple steps to get your medication:

  1. Complete and submit the form below
  2. One of our team will call you to confirm your details and take payment:
  3. Post your paper version prescription to us at Coop Pharmacy, StoneField Walk, Bilston, WV14 0EP.

Personal Details

Does the patient pay for prescriptions

Contact Details

For NHS non-emergency queries call NHS 111, for medical emergencies dial 999