C02162;TA104809;BCO2;1;;ELLIOT MCCOY-772;MEDICAL PHARMACY;1213 MAIN ST;WILLIMANTIC;CT;06226;02/19/25
C02162;TA104809;647XW120;1;;ELLIOT MCCOY-772;MEDICAL PHARMACY;1213 MAIN ST;WILLIMANTIC;CT;06226;02/19/25
