🏥 Medical Receipt

PURE Compounding Pharmacy Receipt

ID: b9ba00e22ac30e2d

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Details

Category
Vendor
PURE Compounding Pharmacy
Amount
$409.25
Date
Feb 7, 2025
Processed
Feb 16, 2026 4:06 AM EST
Original File
Report_02162026_040548_000224.pdf

Summary

Sales receipt for three prescription medications and shipping supplies from PURE Compounding Pharmacy dated February 7, 2025, totaling $409.25 paid via MasterCard.

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OCR Text

## Transaction Details - **Date:** 2/7/2025 3:35 PM - **Receipt Number:** #110953 - **Store:** 1 - **Workstation:** 1 ## Pharmacy Information **PURE Compounding Pharmacy** 603 E Diehl Rd, Suite 131 Naperville, IL 60563 Phone • (630) 995-4300 * Fax: (630) 995-4301 ## Bill To **Sophia Jongsma** 851 Bright Waters Blvd NE St Petersburg, FL 33704 **Cashier:** (blank) ## Items Purchased | Item # | Description | Qty | Price | Ext Price | |:------:|:------------|:---:|:-----:|:---------:| | 2 | Rx - Cash | 1 | $195.00 | $195.00 | | 2 | Rx - Cash | 1 | $165.00 | $165.00 | | 2 | Rx - Cash | 1 | $3.25 | $3.25 | | 3207 | Shipping FedEx/UPS | 1 | $40.00 | $40.00 | | 3208 | Shipping Cooler/Foil | 1 | $6.00 | $6.00 | ## Payment Summary - **Subtotal:** $409.25 - **Out of State Sales:** 0 % Tax + $0.00 - **RECEIPT TOTAL:** $409.25 **Payment Method:** Credit Card: $409.25 MasterCard ## Return Policy Thanks for shopping with us! Unopened products may only be returned within 30 days of purchase with a receipt. Refrigerated products and opened products are NOT returnable. --- 110953

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