Rx# |
490012 |
Written Date |
10/12/2025 |
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Rx Expires |
04/12/2026 |
Name |
Anh Nguyen |
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Original Prescription |
DOB |
2/26/1974 |
Age |
51 |
Ht/Wt |
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Address |
361 E. Pine |
Phone |
(316) 555-8871 |
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Product/Quantity/Refills/SIG |
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Prescribed |
Klonopin 0.5 mg Tablet |
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Strength |
0.5 mg |
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Dispensed |
Klonopin 0.5 mg Tablet |
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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 |
0 |
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SIG |
Take 1 tablet by mouth twice daily for anxiety. |
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Pill Image & Dispensing Notes |
DAW |
1 |
Origin Code |
4 |
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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 Anh Nguyen taking Klonopin 0.5 mg Tablet |
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