|
ELECTRONIC PRESCRIPTION
Date: 02/12/2026 at 03:07 AM
Patient: Kyle O. Bruno
Address: 2506 Bellview
Drug: Ropinirole 0.5 mg Tablet
Dispense: 15
SIG: i po TID for PD
Refills: 0
DAW:
Prescriber: George Platz
Address: 908 Concord
DEA#: AP7323013
|
|
| |
Rx#
|
9624639 |
Written Date
|
02/12/2026 |
|
Name
|
Kyle O. Bruno |
DOB
|
11/15/1971 |
Age
|
55 |
Address
|
2506 Bellview |
Phone
|
(785) 555-8928 |
Allergies
|
|
|
Prescriber
|
George Platz |
Practice
|
Certified Internal Medicine Practice |
Address
|
908 Concord |
Fax
|
(316) 555-7794 |
DEA
|
AP7323013 |
NPI
|
7036888798 |
Phone
|
(316) 555-7793 |
|
Dispensed
|
Ropinirole 0.5 mg Tablet |
NDC #
|
68462-0254-01 |
Mfg
|
Glenmark |
Pres Qty
|
15 |
Dis Qty
|
15 |
Day Supply
|
5 |
Refills
|
0 |
DAW
|
0 |
Origin Code
|
3 |
|
Instructions
|
Take 1 tablet by mouth 3 times daily for Parkinson's disease |
|
Dispensing Notes
|
|
| |
|
