C01368;TA103420;40032XW110;1;;Jeff Haynes;Haag Pharmacy;1400 W12th Ave;Emporia;KS;66801;01/23/25
C01368;TA103420;TDIMXW110;3;;Jeff Haynes;Haag Pharmacy;1400 W12th Ave;Emporia;KS;66801;01/23/25
