H;C01368;C01368;;20250430;TA109297-Leroy Teneyck ;;;;;Newman Community Rx;1400 W12th Ave;;Emporia;KS;66801;;;Leroy Teneyck ;003
D;BCO3;;PR;1;Leroy Teneyck;
H;C04560;C04560;;20250430;TA109303;;;;;Inland Empire Diagnostics;77711 Flora Road Ste. 110;;Palm Desert;CA;92211;;;;003
D;PPFR;;PR;1;Jaime Hernandez Alvarez;
D;483W090;;PR;1;Jaime Hernandez Alvarez;