Rx # 246 Greenleaf Pharmacy 111-222-3434
20 Main Street
Treetop, MA 00000 3/3/yr
Juanita Gomez Qty. 1200mL
Docusate sodium 50mg/5mL
IC: Colace
Take 20mL by mouth twice daily Dr. D. Jones
Lot # 111-101 ED: 3/3/yr Refills: 5 / Rx # 246 Greenleaf Pharmacy 111-222-3434
20 Main Street
Treetop, MA 00000 3/3/yr
Juanita Gomez Qty. 1200mL
Docusate sodium 50mg/5mL
IC: Colace
Take 20mL by mouth twice daily Dr. D. Jones
Lot # 111-101 ED: 3/3/yr Refills: 5
Rx # 246 Greenleaf Pharmacy 111-222-3434
20 Main Street
Treetop, MA 00000 3/3/yr
Juanita Gomez Qty. 1200mL
Docusate sodium 50mg/5mL
Substituted for: Colace
Take 20mL by mouth twice daily Dr. D. Jones
Lot # 111-101 ED: 3/3/yr Refills: 5
Rx # 246 Greenleaf Pharmacy 111-222-3434
20 Main Street
Treetop, MA 00000 3/3/yr
Juanita Gomez Qty. 1200mL
Docusate sodium 50mg/5mL
Substituted for: Colace
Take 20mL by mouth twice daily Dr. D. Jones
Lot # 111-101 ED: 3/3/yr Refills: 5
Rx # 246 Greenleaf Pharmacy 111-222-3434
20 Main Street
Treetop, MA 00000 3/3/yr
Juanita Gomez Qty. 1200mL
Docusate sodium 50mg/5mL
Substituted for: Colace
Take 20mL by mouth twice daily Dr. D. Jones
Lot # 111-101 ED: 3/3/yr Refills: 5
Rx # 789 Greenleaf Pharmacy 111-222-3434
20 Main Street
Treetop, MA 00000 3/3/yr
Juanita Gomez Qty. 120
Phenytoin 100mg
Substituted for: Dilantin
Take 2 tablets by mouth twice daily
Dr. D. Jones
Lot # 131-102 ED: 3/3/yr Refills: 5
Rx # 246 Greenleaf Pharmacy 111-222-3434
20 Main Street
Treetop, MA 00000 3/3/yr
Juanita Gomez Qty. 1200mL
Docusate sodium 50mg/5mL
IC: Colace
Take 20mL by mouth twice daily Dr. D. Jones
Lot # 111-101 ED: 3/3/yr Refills: 5 / Rx # 246 Greenleaf Pharmacy 111-222-3434
20 Main Street
Treetop, MA 00000 3/3/yr
Juanita Gomez Qty. 1200mL
Docusate sodium 50mg/5mL
IC: Colace
Take 20mL by mouth twice daily Dr. D. Jones
Lot # 111-101 ED: 3/3/yr Refills: 5
Rx # 246 Greenleaf Pharmacy 111-222-3434
20 Main Street
Treetop, MA 00000 3/3/yr
Juanita Gomez Qty. 1200mL
Docusate sodium 50mg/5mL
IC: Colace
Take 20mL by mouth twice daily Dr. D. Jones
Lot # 111-101 ED: 3/3/yr Refills: 5 / Rx # 246 Greenleaf Pharmacy 111-222-3434
20 Main Street
Treetop, MA 00000 3/3/yr
Juanita Gomez Qty. 1200mL
Docusate sodium 50mg/5mL
IC: Colace
Take 20mL by mouth twice daily Dr. D. Jones
Lot # 111-101 ED: 3/3/yr Refills: 5
Rx # 246 Greenleaf Pharmacy 111-222-3434
20 Main Street
Treetop, MA 00000 3/3/yr
Juanita Gomez Qty. 1200mL
Docusate sodium 50mg/5mL
IC: Colace
Take 20mL by mouth twice daily Dr. D. Jones
Lot # 111-101 ED: 3/3/yr Refills: 5 / Rx # 246 Greenleaf Pharmacy 111-222-3434
20 Main Street
Treetop, MA 00000 3/3/yr
Juanita Gomez Qty. 1200mL
Docusate sodium 50mg/5mL
IC: Colace
Take 20mL by mouth twice daily Dr. D. Jones
Lot # 111-101 ED: 3/3/yr Refills: 5
Rx # 246 Greenleaf Pharmacy 111-222-3434
20 Main Street
Treetop, MA 00000 3/3/yr
Juanita Gomez Qty. 1200mL
Docusate sodium 50mg/5mL
IC: Colace
Take 20mL by mouth twice daily Dr. D. Jones
Lot # 111-101 ED: 3/3/yr Refills: 5 / Rx # 246 Greenleaf Pharmacy 111-222-3434
20 Main Street
Treetop, MA 00000 3/3/yr
Juanita Gomez Qty. 1200mL
Docusate sodium 50mg/5mL
IC: Colace
Take 20mL by mouth twice daily Dr. D. Jones
Lot # 111-101 ED: 3/3/yr Refills: 5