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7 <br />ABLE LABS <br />DAVA <br />Customer number: 21322 <br />Store number: 16639 <br />Batch number: 151 <br />Account number: 008-030510 <br />Name: DEUEL VOCATIONAL <br />INSTITUTION <br />GLAXO WELLCOME <br />JANSSEN/ORTHO/MCN EIL <br />NOVO-NORDISK <br />xriarrar� t�:�ri <br />Credits passed through: 21322 <br />Customer reference number: GRX21322151 <br />Service Date: 12/13/2006 <br />Returnable Report <br />Print Date: <br />n, rU Narile�c ", f1 nt1U $ Sixa1 Shen th 4dIYC 10, y- l Class <br />1/9/2007 <br />Phone: <br />(916)928-0641 <br />Wholesaler: AMERISOURCEBERGEN-008 <br />Address: <br />1325 WEST STRIKER AVENUE <br />$1,241.95 <br />SACRAMENTO, CA 95834 <br />Prlaa = ,� <br />NOVOLIN N 1 2.0001 1.001 100 U/ML 00169183411 1 55.34 <br />Total: 2.000 55.34 <br />TEVA PHARM. <br />3irai-.e., <br />$1,484.04 <br />NITROFURANTOIN MACROCRYSTALS 1.00.00 0 100.00 50 MG 00172213060 <br />R 85.90 <br />Total: 1.0001 <br />85.90 <br />UDL (Direct) <br />ACETAMINOPI <br />X -GEN <br />s' (ur�,Ptamgi . a .,„ ,a „� Qu'anllty Gtaes , Prloryt,:,.._. <br />AMMONIA INHALANT 1.000 10.00 35%/15% 39822990001 3.10 <br />Total: 1.0001 1 1 13.10 <br />Total Estimate of Returnable Products <br />$1,484.04 <br />Credits to be Issued Direct from Vendors` <br />$4.64 <br />Service Fee <br />$237.45 <br />Estimated Credit Issued by Wholesaler <br />$1,241.95 <br />Total Items: <br />29 <br />NY Division: 100 Colin Drive, Holbrook, NY 11741, Phone: 1-800-473-2138; Midwest Division: 100 Teduke Court, St Charles, MO 63301, Phone: 1-800-729-3279 <br />Page 2 of 4 <br />