Laserfiche WebLink
storasr <br />Cust. #: 15152 ted <br />Store #: 5793 <br />0 Ch #: 145 <br />t. #: 805663 <br />Cu: :r: DEUEL VOCATIONAL INSTITUTION <br />Address 23500 KASSON ROAD <br />P.O. BOX 400 - PHARMACY DEPT <br />TRACY, CA 95376 <br />Contact ESPERANZA <br />Dea # AV3309831 <br />® RETURN GOODS <br />Page: 230 <br />54 DEVOS LTD., DBA GUARANTEED RETURNS <br />100 Colin Drive <br />Holbrook, NY 11741-4306 <br />(DEA#: RD0188311 EPA#: NY0000997692 ) Print Date : Sep 7, 2004 <br />Phone: (209) 835-4141 <br />RETURNABLES <br />Credits passed through: 15152 Wholesaler: MCKESSON-26 <br />Cust Ref #/Debit#: GRX15152145 Address: 3775 SEAPORT BLVD. <br />Service Date: 08/23/04 182-W. SACRAMENTO, CA 94403 <br />QUANTITY <br />VENDOR F ( P SIZE STRENGTH DRUG NAME <br />TEVA PHARM. 1.000 100.00 300-15MG ACETAMINOPHEN W/CODEINE <br />BARR 1.000 100.00 25 MG CHLORDIAZEPDXIDE HCL <br />TOTAL COST OF RETURNABLE PRODUCT: 30.95 <br />CREDIT ISSUED DIRECT FROM VENDORS: .00 <br />16.0% SERVICE FEE: -4.95 <br />ESTIMATED CREDIT ISSUED FROM WHOLESALER: 26.00 <br />Total Items: 2 <br />*Please contact ABBOTT (PPD) Q 800-255-5162 for credit details. <br />C <br />11 <br />DEA <br />NDCNO CLASS PRICE <br />93005001 3 24.35 <br />555015902 4 6.60 <br />