Ugh...I live in a 'small' town too and avoid the mom and pop pharmacy like the plague. I swear everyone knows each other and feels free to tell all.
We have two local pharms/one CVS/one Walgreens and walmart...and the grocery store ones that I won't go to either.
There is a CVS pharmacy here that THE town gossip workED at and suddenly I was having people that I didn't know very well asking me "How are you doing?" (referring to my health)...It was HER telling all...and giving FALSE information to boot. Hubby was so mad after we were at a high school football game one night and I got asked by my daughters freinds mothers this numerous times.
He called her up and said "If you are SO concerned for her, let me fill you in on her REAL health problems" She was speechless.
Now, I understand she works for an ambulance dispatch company...I can imagine everyone knows who they pick up every day now that she works there.

Now, I fill my rx's at Walgreens and will only go in when my favorite pharmacist is there, she's great...the other one will lecture me everytime on the meds I've taken for YEARS...daily.