1 results for "0000471266"

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EFTA00314241.pdf
OCR Confidence: 85%  •  434.6 KB
...1932136231 0151 RANBAXY/SUN PHA Pharmacy UPI Contact Number (F41 None .. _ Rx Humber: 6191993.1395 DEA BK065O831 Date of Sennce 01115/2019 . Tx Member: 0000471266 Claim Type. 81 - Ming Claim Status. Regatta' Authorization Number. 1901549913413232999 Claim Format D.0 SXC COMMERCIAL CLAIM FORMAT Cardholder ID 854905597 Quantity Dispensed 30 Times...

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