C02162;TA104632;TCO3;1;21225FRANCIS;FRANCIS DIAZ HERNANDEZ-747;MEDICAL PHARMACY;1213 MAIN ST;WILLIMANTIC;CT;06226;02/14/25
C02162;TA104632;80021W100;1;21225FRANCIS;FRANCIS DIAZ HERNANDEZ-747;MEDICAL PHARMACY;1213 MAIN ST;WILLIMANTIC;CT;06226;02/14/25
