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Beneficiary’s Medicaid ID#
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Document Date: 2014-07-24 07:31:48

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File Size: 1,37 MB

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City

ARNP / Medicaid / Tallahassee / /

Facility

Pharmacy Phone Number Pharmacy Fax Number / Pharmacy Name Pharmacy Medicaid Provider / /

/

Person

Soma Compound / /

/

Product

Soma Compound / Soma / Carisoprodol / /

ProgrammingLanguage

FL / /

ProvinceOrState

Florida / /

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