1. They certainly might, that is why I'm typing all these questionmarks. What is the justification for why it might cause harm?
Overruling a doctor's prescribed treatment is a pretty extreme action. Drawing a rough parallel to abortion, I can see how they might choose not to carry Ivermectin and call it a day. But if they are selectively not filling prescriptions for political reasons, that is outrageous. There is no evidence that Ivermectin will cause patients harm. If they then took horse paste, there is evidence that the pharmacists stubbornness is causing more harm. It is better for people to take drugs under the supervision of a doctor.
3. You've had 2 goes at answering the question and you are struggling to even take a credible guess at how the prescription might have caused harm. And we know a doctor might think it is a fine thing to prescribe speculatively. But I think you have more problems than just that - it looks a lot like you're comfortable with the idea that a pharmacist can overrule a doctor and a patient based on gut feel and no evidence. Literally no evidence, given your responses so far. Are you really comfortable with that crazy stance? You don't think it is reasonable that patients trust and follow their doctors advice?
4. So in this specific case, do you think that the pharmacist suspected an interaction? Because I feel pretty confident you'd come off the worse if we check, but I'll admit I still haven't. The filling of Ivermectin scripts somehow became a political rather than a medical issue and this pharmacist is probably acting politically.