Module 4 RX.docx - Advanced Pharmacy Clinic 123 Pill Ave...

This preview shows page 1 out of 1 page.

Unformatted text preview: Advanced Pharmacy Clinic 123 Pill Ave., Anywhere, TX 70001 (123) 456-7890 Name: Roy Thompson Date: 10-16-2020 Address: 2303 Colosio Lane, Mission TX 78572 Weight: 72 kg ℟ DOB: 05-28-1955 Varenicline 1 0.5mg mg tablet tablet Dispense # 42 11 (eleven) SIG: Take 1 tablet by mouth twice daily for daily 3 days for maintenance then 1 tabletdose by mouth twice daily for 4 days Refill 2 times Refill 2 times Katian Lopez Katian Lopez A.B. Smart MD phone (123)456-7890 123 Ave,MD Anywhere, TX 70001 A.B. Pill Smart phone (123)456-7890 DEA# AB12345 DPS# 112321 123 Pill Ave, Anywhere, TX 70001 DEA# AB12345 DPS# 112321 Katian Lopez, RN, APRN NPI ID#Lopez, 13281328 Katian RN, APRN DEA# NPI ID#13051405 13281328 DEA# 13051405 ...
View Full Document

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture