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Rx# |
990100 |
Written Date |
07/01/2026 |
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Rx Expires |
01/01/2027 |
Name |
Jim S. Miller |
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Original Prescription |
DOB |
7/25/2016 |
Age |
10 |
Ht/Wt |
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 |
Address |
432 Locust |
Phone |
(316) 555-3069 |
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Product/Quantity/Refills/SIG |
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Prescribed |
Tramadol 25 mg Tablet |
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Strength |
25 mg |
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Dispensed |
Tramadol 25 mg Tablet |
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Pres Qty |
20 |
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Dis Qty |
20 |
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Day Supply |
5 |
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Refills |
0 |
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SIG |
Take 1 tablet by mouth every 6 hours as needed for moderate to severe pain. |
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Pill Image & Dispensing Notes |
DAW |
0 |
Origin Code |
3 |
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Pill Image |
 |
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Name |
Harold L. Green |
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Address |
2-G Medical Arts Building |
Fax |
(785) 555-7718 |
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DEA |
AG1294230 |
NPI |
5946269224 |
Phone |
(785) 555-7718 |
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DUR ALERT |
There is a PROFILE ALERT for Jim S. Miller taking Tramadol 25 mg Tablet |
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