H;C04466;C04466;;20250528;TA110894;;;;;The Medicine Shoppe;1000 Market Street;;Bloomsburg;PA;17815;;;;003
D;TCO3;;PR;1;Charles Walter;
D;20021W100;;PR;1;Charles Walter;
D;COMP;;PR;No;;
H;C04010;C04010;;20250528;TA110899;;;;;Batavia Foot Care Center;3922 West Main St Rd;;Batavia;NY;14020;;;;003
D;80022W090;;PR;1;Elizabeth Kegler;
D;80022W095;;PR;1;Elizabeth Kegler;
D;COMP;;PR;No;;