H;C01368;C01368;;20241224;TA102416;;;;;Haag Pharmacy;1400 W12th Ave;;Emporia;KS;66801;;;
D;20018XW105;;PR;1;Theodore  Henderson;
H;C02856;C02856;;20241224;TA102417;;;;;Trinity Orthotics & Pedorthics;2905 BOB WALLACE AVE SW STE B;;HUNTSVILLE;AL;35805;;;
D;TCO2;;PR;1;Franklin Dunn;
D;20015M115;;PR;1;Franklin Dunn;
D;469M115;;PR;1;Franklin Dunn;
H;C00130;C00130;;20241224;TA102420-HSVSS;;;;;Alabama O&P;2100 Franklin Street;;Huntsville;AL;35801;;;HSVSS
D;FOP;;PR;1;STEPHEN  COOPER;