Rx# |
702322 |
Written Date |
10/12/2025 |
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Rx Expires |
10/12/2026 |
Name |
Teresa C. Sykes |
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Original Prescription |
DOB |
8/20/1955 |
Age |
70 |
Ht/Wt |
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Address |
832 Missouri Street |
Phone |
(316) 555-9614 |
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Product/Quantity/Refills/SIG |
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Prescribed |
Minocycline 100 mg Capsule |
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Strength |
100 mg |
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Dispensed |
Minocycline 100 mg Capsule |
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Pres Qty |
60 |
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Dis Qty |
60 |
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Day Supply |
30 |
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Refills |
2 |
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SIG |
Take 1 capsule by mouth twice daily for rheumatoid arthritis. |
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Pill Image & Dispensing Notes |
DAW |
0 |
Origin Code |
2 |
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Pill Image |
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Name |
Samuel Bernstein |
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Address |
3-C Medical Arts Building |
Fax |
(785) 555-8678 |
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DEA |
AB1294824 |
NPI |
7759028783 |
Phone |
(785) 555-8678 |
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DUR ALERT |
There is a PROFILE ALERT for Teresa C. Sykes taking Minocycline 100 mg Capsule |
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