C01368;TA103699;92004M070;1;;Sharon Bayer;Haag Pharmacy;1400 W12th Ave;Emporia;KS;66801;01/28/25
C01368;TA103699;TDIWM070;3;;Sharon Bayer;Haag Pharmacy;1400 W12th Ave;Emporia;KS;66801;01/28/25
