C02177;TA109375;BCO3;1;;ROYLENE BAXTER-314;Patterson Health Mart Pharmacy;422 Lincoln Avenue;Clay Center;KS;67432;05/01/25
C02177;TA109375;80022XW090;1;;ROYLENE BAXTER-314;Patterson Health Mart Pharmacy;422 Lincoln Avenue;Clay Center;KS;67432;05/01/25
