C02162;TA104633;BCO3;1;21225MENDEZ;WILLIAM MENDEZ-746;MEDICAL PHARMACY;1213 MAIN ST;WILLIMANTIC;CT;06226;02/14/25
C02162;TA104633;483W080;1;21225MENDEZ;WILLIAM MENDEZ-746;MEDICAL PHARMACY;1213 MAIN ST;WILLIMANTIC;CT;06226;02/14/25
