Rx# |
703924 |
Written Date |
10/12/2025 |
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Rx Expires |
10/12/2026 |
Name |
Fayrah Khan |
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Original Prescription |
DOB |
9/29/1998 |
Age |
27 |
Ht/Wt |
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Address |
1761 S. Grant Street |
Phone |
(785) 555-8614 |
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Product/Quantity/Refills/SIG |
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Prescribed |
Zithromax 500 mg Tablet |
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Strength |
500 mg |
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Dispensed |
Azithromycin 500 mg Tablet |
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Pres Qty |
2 |
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Dis Qty |
2 |
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Day Supply |
1 |
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Refills |
0 |
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SIG |
Take 2 tablets by mouth now as a single dose for chlamydia infection. |
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Pill Image & Dispensing Notes |
DAW |
0 |
Origin Code |
2 |
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Pill Image |
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Name |
Sandra Jones |
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Address |
2300 Clinton Parkway Ct. |
Fax |
(785) 555-1096 |
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DEA |
BJ1234563 |
NPI |
9683386307 |
Phone |
(785) 555-1096 |
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DUR ALERT |
There is a PROFILE ALERT for Fayrah Khan taking Zithromax 500 mg Tablet |
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