Laserfiche WebLink
Customer number: 21322 rent Date: 2/16/2007 <br />Store number: 16639 erarsr rtCc.Cd Ohone: (916) 928-0641 <br />Batch number: 153etterns3° Wholesaler: AMER ISOURCEBERGEN-008 <br />Account number: 008-030510 Address: 1325 WEST STRIKER AVENUE <br />Name: DEUEL VOCATIONAL SACRAMENTO, CA 95834 <br />INSTITUTION w <br />Credits passed through: 21322 <br />Customer reference number: GRX21322153 <br />Service Date: 01/22/2007 <br />Non-Returnat le`Repoi t <br />ABBOTT PHARM (Direct) <br />- .Dru Nareid <br />g Quantity .�:, <br />.__.. <br />Size 1. 3(tength_--' ; NDCNO Class „' "PYice <br />�: <br />RCode ,,,,. ,�iotNumbei "°'ExlSireffaia <br />TRICOR 0.222 <br />DEPAKOTE 0.050 <br />90.00 67MG 1 74612290 R 1 19.48 <br />500.00 500 MG 00074621553 R 55.16 <br />02 260282E21 <br />02 08164AA21 <br />Total: 2.0001 <br />1 174.641 <br />1 <br />AKORN <br />AMERICAN PHARM. INC. (Direct) <br />Drug Name , ' .- F ' <br />Quantity <br />' Size' ' <br />Strength' <br />'" NOCNO, ,, <br />'Class <br />'"Price",, - <br />'RCode <br />," ; ` 'Lot Nunjher , <br />Expire ll8ta 1 <br />SODIUM CHLORIDE <br />1.000 <br />25.00 <br />.9 <br />63323018610 <br />R <br />0.74 <br />01 <br />333645 <br />11/05 <br />SODIUM CHLORIDE <br />0.080 <br />25.00 <br />.9 <br />63323018610 <br />R <br />0.06 <br />02 <br />343677 <br />07/06 <br />STERILE WATER <br />0.040 <br />_ 25.00 <br />10 ML <br />63323018510 <br />R <br />0.03 <br />01 <br />332400 <br />03/06 <br />STERILE WATER <br />1.000 <br />25.00 <br />10 ML <br />63323018510 <br />R <br />'0.74. <br />01332400. <br />- . 083074 <br />03/06 <br />ATROPINE SULFATE <br />0.040 <br />25.00 <br />1MG/ML <br />63323024601 <br />R <br />0.06 <br />01 <br />332390 <br />03/06 <br />FLUPHENAZINE DECANOATE <br />0.040 <br />25.00 <br />25MG <br />63323027205 <br />R <br />2.22 <br />01 <br />140752 <br />06/06 <br />SODIUM CHLORIDE <br />0.160 <br />25.00 <br />.9MG <br />63323018620 <br />R <br />0.18 <br />01 <br />343124 <br />08/06 <br />Total: <br />17.0001 <br />1 <br />1 <br />4.03 <br />AMERICAN PHARMACAL <br />,Dru" Name, , Quantl" <br />OUSntiY�H <br />- ' <br />StrengthQR�otfe <br />, q.Lot NuriVbars <br />THIAMINE HYDROCHLORIDE INJ 1.000 <br />THIAMINE HYDROCHLORIDE INJ 1.000 <br />25.00 <br />25.00 <br />100 ML63323001302 R 1.90 <br />100 ML 63323001302 R 1.90 <br />06 343323 <br />06 343323 <br />Total: 1 2.0001 <br />^CiCtiiX:Dafsl <br />, <br />1 1 1 1 3.80 <br />0.160 <br />AMERICAN REGENT LABS (Direct) <br />-Drug Nelle s .�,., , ,., <br />OUSntiY�H <br />�, , Stz,,, <br />�,�aStrehgtft ,.,.,. <br />�NDCNO ,,;; <br />- <br />Class <br />- ;,. % <br />