Rx# |
501612 |
Written Date |
10/12/2025 |
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Rx Expires |
10/12/2026 |
Name |
Elizabeth A. Wright |
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Original Prescription |
DOB |
1/9/1957 |
Age |
68 |
Ht/Wt |
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Address |
902 Princeton Blvd. |
Phone |
(785) 555-1312 |
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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 |
3 |
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Dis Qty |
3 |
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Day Supply |
3 |
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Refills |
0 |
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SIG |
Take 1 tablet by mouth once daily for 3 days for sinus infection. |
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Pill Image & Dispensing Notes |
DAW |
0 |
Origin Code |
1 |
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Pill Image |
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Name |
Carolyn Abman |
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Address |
1315 W. 12th Street |
Fax |
(316) 555-3277 |
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DEA |
BA4132647 |
NPI |
1269594188 |
Phone |
(316) 555-3277 |
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DUR ALERT |
There is a PROFILE ALERT for Elizabeth A. Wright taking Zithromax 500 mg Tablet |
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