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ELECTRONIC PRESCRIPTION
Date: 10/12/2025 at 09:23 PM
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
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Rx#
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6568922 |
Written Date
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10/12/2025 |
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Name
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Kyle O. Bruno |
DOB
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11/15/1970 |
Age
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55 |
Address
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2506 Bellview |
Phone
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(785) 555-8928 |
Allergies
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|
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Prescriber
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George Platz |
Practice
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Certified Internal Medicine Practice |
Address
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908 Concord |
Fax
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(316) 555-7794 |
DEA
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AP7323013 |
NPI
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7036888798 |
Phone
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(316) 555-7793 |
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Dispensed
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Ropinirole 0.5 mg Tablet |
NDC #
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68462-0254-01 |
Mfg
|
Glenmark |
Pres Qty
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15 |
Dis Qty
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15 |
Day Supply
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5 |
Refills
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0 |
DAW
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0 |
Origin Code
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3 |
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Instructions
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Take 1 tablet by mouth 3 times daily for Parkinson's disease |
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Dispensing Notes
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