C02162;TA111078;BCO3;1;52825AMY;AMY GIGGIE-922;MEDICAL PHARMACY;1213 MAIN ST;WILLIMANTIC;CT;06226;05/30/25
C02162;TA111078;81104XW080;1;52825AMY;AMY GIGGIE-922;MEDICAL PHARMACY;1213 MAIN ST;WILLIMANTIC;CT;06226;05/30/25
C02162;TA111078;COMP;No
