C01368;TA103286;80041M085;1;;Maria Hernandez;Haag Pharmacy;1400 W12th Ave;Emporia;KS;66801;01/20/25
C01368;TA103286;TDIWM085;3;;Maria Hernandez;Haag Pharmacy;1400 W12th Ave;Emporia;KS;66801;01/20/25
