DO 9300 21092012351
|
MEDICAL, DENTAL AND LAB SUPPLY PER PRICE AGREEMENT |
111 |
10/04/2021 |
Paid |
$15,017.29 |
DO 9300 21092012351
|
MEDICAL, DENTAL AND LAB SUPPLY PER PRICE AGREEMENT |
121 |
10/04/2021 |
Paid |
$1,477.60 |
DO 9300 21092012351
|
MEDICAL, DENTAL AND LAB SUPPLY PER PRICE AGREEMENT |
131 |
10/04/2021 |
Paid |
$107.20 |
DO 9300 21092012351
|
MEDICAL, DENTAL AND LAB SUPPLY PER PRICE AGREEMENT |
141 |
10/04/2021 |
Paid |
$100.70 |
DO 9300 21092212462
|
MEDICAL, DENTAL AND LAB SUPPLY PER PRICE AGREEMENT |
131 |
10/04/2021 |
Paid |
$6,112.20 |
PO 9300 21092202731
|
M046.2 Diphenhydramine HCL Oral Solution. 12.5mg/ 5mL un |
111 |
10/04/2021 |
Paid |
$395.64 |
PO 9300 21092202731
|
Acetaminophen |
121 |
10/04/2021 |
Paid |
$91.20 |