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Date:
30/11/2023
Category of the compound:
Pain
Name of the patient:
Active Pharmaceutical Ingredients:
5% Ketamine Hcl
2% Amitriptyline Powder
10% Gabapentin Powder
0.2% Clonidine powder
2% Baclofen Powder
2% Lidocaine Powder
78.8% Lipoderm
Quantity:
SIG:
Refills:
Prescribing Doctor Name:
www.medlandia.com
info@medlandia.com
Tel: 1-604 465 3375
FAX: 1-604 465 3378
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