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PRESCRIPTION RECEIPT
Walgreens Pharmacy Store #7721 Denver, CO Prescription No: RX-884193 Patient: Daniel Moore
Medication: Amoxicillin 500 mg Qty: 30 capsules
02/14/2026, 17:29:29
Insurance Copay
18.00€
Total Paid
18.00€
Card number
**** **** **** 1234
Card type
Debit
Status
APPROVED
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Prescription Receipt

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