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gr_whtrn-storlasr <br />Cust. #: 15152 <br />Store #: 579310 <br />runts <br />im <br />ch #: 147 <br />t. #: 805663 <br />Cc ar: DEUEL VOCATIONAL INSTITUTION <br />Adu- -os 23500 KASSON ROAD <br />P.O. BOX 400 - PHARMACY DEPT. <br />TRACY, CA 95376 <br />Contact ESPERANZA <br />Dea # AV3309831 <br />MI. <br />DEVOS LTD., DBA GUARANTEED RETURNS <br />100 Colin Drive <br />Holbrook, NY 11741-4306 <br />(DEA#: RD0188311 EPA#: NY0000997692 ) <br />Page: 296 <br />Print Date : Nov 5, 2004 <br />Phone: (209) 835-4141 <br />Credits passed through: 15152 Wholesaler: MCKESSON-26 <br />Cust Ref #/Debit#: GRX15152147 Address: 3775 SEAPORT BLVD. <br />Service Date: 10/19/04 182-W. SACRAMENTO, CA 94403 <br />QUANTITY <br />DEA <br />REASON <br />VENDOR <br />F I P <br />SIZE <br />STRENGTH <br />DRUG NAME <br />NDCNO <br />CLASS <br />EXPIRES <br />PRICE <br />CODE <br />P&G,RICHARDSON-VICKS <br />.167 <br />30.00 <br />5MG <br />ACTONEL <br />149047101 <br />R <br />10.09 <br />06 <br />PAR PHARM <br />.500 <br />100.00 <br />5 MG <br />PROCHLORPERAZINE MALEATE TAB <br />4988454901 <br />R <br />13.50 <br />02 <br />PUREPAC <br />.850 <br />100.00 <br />10 MG <br />NIFEDIPINE <br />228249710 <br />R <br />11.90 <br />02 <br />QUALITEST <br />.050 <br />1000.00 <br />10 MG <br />DICYCLOMINE HCL <br />603326532 <br />R <br />4.94 <br />02 <br />QUALITEST <br />.450 <br />100.00 <br />1/100 GR <br />COLCHICINE <br />603305221 <br />R <br />4.68 <br />02 <br />ROCHE/SYNTEX <br />1.000 <br />10.00 <br />500 MG <br />ROCEPHIN <br />4196301 <br />R <br />05/02 <br />238.97 <br />01 <br />ROXANE <br />.130 <br />100.00 <br />200 MG <br />MEXILETINE <br />54261725 <br />R <br />05/03 <br />10.69 <br />01 <br />TEVA PHARM. <br />.800 <br />100.00 <br />90 MG <br />DILTIAZEM HCL <br />93032001 <br />R <br />64.85 <br />02 <br />TEVA PHARM. <br />.500 <br />1000.00 <br />250MG <br />PENICILLIN - VK <br />93117110 <br />R <br />07/03 <br />7.86 <br />01 <br />TEVA PHARM. <br />.800 <br />100.00 <br />25 MG -10 <br />CARBIDOPA AND LEVODOPA <br />93029301 <br />R <br />51.22 <br />02 <br />TEVA PHARM. <br />.750 <br />100.00 <br />100 MG <br />CARBAMAZEPINE <br />93077801 <br />R <br />13.86 <br />02 <br />TEVA PHARM. <br />1.000 <br />1.00 <br />0.05% <br />FLUOCINONIDE <br />93026415 <br />R <br />05/03 <br />15.93 <br />01 <br />TEVA PHARM. <br />.500 <br />100.00 <br />1.25MG <br />GLYBURIDE TABLETS,USP <br />93834201 <br />R <br />11.02 <br />02 <br />UDL <br />1.000 <br />100.00 <br />400MG <br />IBUPROFEN <br />5107928120 <br />R <br />03/02 <br />6.85 <br />01 <br />UNITED RESEARCH <br />.350 <br />100.00 <br />100 MG <br />PHENAZOPYRIDINE <br />677057501 <br />R <br />3.30 <br />02 <br />VERSAPHARM <br />.500 <br />100.00 <br />100MG <br />ETHAMBUTOL <br />6174801101 <br />R <br />22.95 <br />06 <br />WEST -WARD <br />.100 <br />1000.00 <br />300 MG <br />ISONIAZID <br />143126110 <br />R <br />03/04 <br />5.92 <br />01 <br />WYETH/AYERST/LEDERLE <br />.000 <br />100.00 <br />2 MG <br />TENEX <br />31890363 <br />R <br />.00 <br />26 <br />3294.16 <br />Total <br />Items: <br />89 <br />CODE KEY: <br />0' OUTDATED PAST <br />VENDOR POLICY <br />02 VENDOR ACCEPTS FULL <br />PACKAGES ONLY <br />'ENDOR DOES NOT ISSUE CREDIT <br />FOR THIS <br />PRODUCT <br />26 RECEIVED EMPTY <br />0, WHSLR RTN. NO <br />CHARGE <br />