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Prescription Label

Aging Well, Living Well Home > Drugs and Alternative Medicine > Prescription Label

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Local Pharmacy 123 MAIN STREET ANYTOWN,USA 11111 (800) 555-5555 DR C. JONES NO 0060023-08291   DATE 06-23-05 JANE SMITH 456 MAIN STREET ANYTOWN US 11111 TAKE ONE CAPSULE BY MOUTH THREE TIMES DAILY FOR 10 DAYS UNTIL ALL TAKEN AMOXICILLIN 500MG CAPSULE QTY MRG NO REFILLS - DR. AUTHORIZATION REQUIRED   USE BEFORE 06/23/06 SLF/SLF

Local Pharmacy

Pharmacy name and address

(800) 555-5555

Drug store phone number

DR C. JONES

Doctor's name

NO 0060023-08291

Number used by the drug store to identify this drug for your refills

DATE 06-23-05

Today's date

JANE SMITH

Person who gets this drug

TAKE ONE CAPSULE BY MOUTH THREE
TIMES DAILY FOR 10 DAYS UNTIL ALL TAKEN

Instructions about how often and when to take

AMOXICILLIN 500MG CAPSULE

Name of drug and strength of drug

NO REFILLS

Number of refills

USE BEFORE 06/23/06

Don't use this drug past this date