`Total RX: 1
`
`Walmart ':~
`Pharmacy
`
`BR 1827
`
`c
`
`If you have any questions, please feel free to contact your Pharmacist at (919)772-2640.
`Call your doctor for medical advice about side etf~ts. You may report side effects to FDA at 1-800-FOA-1088.
`
`SHAAGEL
`LEON
`1535·228 CARLEIGH MILL
`RALEIGH, NC 27603
`
`RX :
`
`Patient Pay: $317.48
`
`OC#
`Ref= 3
`
`DATE: 05{18!15
`
`WAL·MART PHARMACY 10·1372
`4500 FAYETTEVILLE RD
`RALEIGH, NC 27603 •0000
`NABP: 3426687
`VIMOVO 500·20MG TAB MCK
`SHARGEl,MARTIN C
`QTY: 12 OAW: O DAY SUPPLY: 6
`
`PRIORITY: IN STORE
`NEW
`
`NDC: 75987..0030-04
`
`Vf;v1&V6
`
`!}oo -zo tvt!
`~ !2 . ff Jtr~ 'jg
`
`I
`Walrnc3lrt ::.~~
`
`I 1
`
` ·
`66
`
`Save mc>nay. U,e bettet·.
`( 919 ) ?72 - 875\
`HANAGER JORGE ROJ"S
`'1500 FA'fETTEIIILLE RD
`RALEIGH ~C 2?'603
`.
`ST# 1372 OP# 00006673 TEU 80 [RI 00319
`RXI 7865516
`038 QTY 1H
`317.48 N
` ~~ ~
`EQ OHEP CAPS 00'(81'1206"(81 H
`EQ ~APROX TS 068'11 :n 7'7675
`329 · 9 ..
`SUBTOTAL
`· ,
`TAX 1 6.750"
`0.84
`TOTAL
`330 .78
`VISA TEND
`330.78
`V 1 sa Credii· UtE* u :u; Ult-11 0138
`APPROVAL I 0601EB
`REF I 513800652917
`TRANS ID - 3051 387~86•,0340
`VALIDATION - RT4T
`PAYHENT SERVICE - E
`AID A0000000031010
`TC F2C5779D77715697
`TERHINAL I SC010183
`•Signature Ved f'ied
`05/18/15
`16:31:1 9
`CHfl~~iE DUE
`1 ITEMS SOLD 3
`TC1 7106 7587 "(S~H) 9602 2353 7
`11 ~\i\1~~1~!1111 I~ 11~1 \!~Ill ~11~111~11! Mlm
`
`0 · 00
`
`Low Prices You Can ll·ust . EverY Da!f,
`05/ 18/15
`16:31:19
`Ull-CUSTOI'IER I:OPY*~~*
`
`
`
`TAMPER EVIDENT: Do net U!lle ~ til :811 tnlcr ClP
`
`po.'liOCI•!.lh .ooalal b-yw-praloc!D1 ... '**(cid:173)
`
`zotni-IA~:nlrtAIEniY~
`IMPORTANT: RrJ:! C... ~.-..!at: :n! '"·""'"'~!'
`br'...., ~ Kee;J tle wrt.:n n coro!Jics
`~ onfcrm=l.on
`Tips for Managing Heartburn
`• Do not lie flat or belld rmr atter eatong
`• Do not wear tight-fitting dothing around
`the stomach
`• Do not eat before bedtime
`• Raise 11le head of your bed
`• Avtlid heartburn-causing foods such as rlch,
`spicy, fatty or fried foods, chocolate, caffeine,
`aleollOI and cettain fruitS and vegetables
`• Eat slowly and a>Oid lli~ meals
`• ~ overweight, lose weight
`• Quit smoking
`
`KIX~ll>l!l-2
`
`!eM! 1~5~ RIJlO ~ tm~ e !='1iiOO.:ild~a~-if::'l<w
`1~5 ·;Stlllw.o JO e:;eJ Ul
`1
`'/Ja.I,!;Cp 0~lJ1p SUO'J'r.J!::w3:> JQ
`B".Jlll:Jf•wv.:r..t~~xpope
`'
`SS3)lll !o:l.t.?.Gll~
`t!dxo.tb'J
`
`.tJ 77675
`
`LOT NO.
`
`2
`
`EXP.
`
`: ~~07 ! 2E CJ.l
`
`0
`
`0
`
`I I III I I
`
`Ort£ fJfMitJt.E
`t"'f lrC: tv E 'fiV ~
`? () P<-j /1 ?1-j,
`1f(, q g /!Lf Ct"'f'5
`
`
`
`t ' 1
`W. I
`Save ~ne~~.t. "'II'-
`''
`
`Clinically Proven to
`Treat Frequent
`Heartburn
`
`( 919 ) 772 - 8751
`MANAGER JORGE ROJJ~~
`~500 FAYETTEVILLE fi O
`RALEIGH NC 27603
`ST# 1372 OP# 00007317 TE# 13 TRfi 0730~
`18 . ~4 X
`030573245028
`NEXIUM 28
`SUBTOTAL
`18 .44
`TAX 1 6.750 X
`1 . 2~
`TOTAL
`19 .68
`VISA TEND
`19.68
`**** **** u-u OB8
`I 1
`Visa Credit
`APPROVAL # 379178
`REF # 5155006973~3
`TRANS ID - 385155621918477
`VALIDATION - F7X4
`PAYMENT SERVICE - E
`AID A0000000031010
`TC 101FFF09F~~11CE8
`TERMINAL # SC010993
`*NO SIGNATURE REQUIRED
`06/04/15
`
`13:16:3 5
`CHANGE DUE
`0.00
`# ITEMS SOLD 1
`TC# 5903 0293 0801 968'7 :so~~~
`11111111~/II~IM~III~IIMII fll.ll/1~1111~/l/lilllllllr
`
`Low Prices You Can Trust. E 'lerH DaY .
`06/04/15
`13 :16:3 5
`***CUSTOMER COPY•..u
`
`May take lto 4 days for full effect
`
`PAA054078 I
`
`3 0 57 3 2 4 50 2 8 5
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