C01368;TA111752;BCO3;1;;Jerry Conrade;Newman Community Rx;1400 W12th Ave;Emporia;KS;66801;06/11/25
C01368;TA111752;647M140;1;;Jerry Conrade;Newman Community Rx;1400 W12th Ave;Emporia;KS;66801;06/11/25
C01368;TA111752;COMP;No
