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Created By/On: Devel# 11/26/2015 | 5:23:47 AM

Maintained By/On: Jayden Smith 02/12/2018 | 5:06:479 AM

  • Rodriguezgomez, Carlospimentasantos
  • 10/07/1976

Basic Information

ft. in.
lbs
Primary Prescriber

Address / Contact Information

Address
Phone Number +
Email Address +
Primary
Address
Phone Number +
Email Address +
Primary
Address
Phone Number +
Email Address +
Primary

IDs

+

Status Audit

  • Number of Rx's Completed: 10
  • Total Dollar Amt. of Rx's: $6,535.12
  • Date Last Filled: 04/01/2007
  • Date Patient Added: 05/21/2007
  • Number of Rx Completed: 10
  • Total Dollar Amount of Rx's: $2.12
  • Date Last Filled: 04/01/2007