C01368;TA102984;80042XW100;1;;Lori Caldwell;Haag Pharmacy;1400 W12th Ave;Emporia;KS;66801;01/13/25
C01368;TA102984;TDIWXW100;3;;Lori Caldwell;Haag Pharmacy;1400 W12th Ave;Emporia;KS;66801;01/13/25
