H;C03262;C03262;;20250117;TA103211-483995299 11725;;;;;Family Foot Clinic;1880 Willamette Falls Drive Ste 111;;West Linn;OR;97068;;;483995299 11725
D;TCO3;;PR;1;Adrian Fisher;
H;C01368;C01368;;20250117;TA103217;;;;;Haag Pharmacy;1400 W12th Ave;;Emporia;KS;66801;;;
D;BCO3;;PR;1;Charles Spradlin;
H;C01268;C01268;;20250117;TA103218;;;;;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave.;;Toledo;OH;43613;;;
D;TCO3;;PR;1;Kelly Sailor;
D;80011W080;;PR;1;Kelly Sailor;