Salem Pharmacy Receipt

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Salem Pharmacy Store #108 Salem Pharmacy & Wellness Center 245 Oak Street Salem, OR 97301 United States Phone: (503) 555-2847

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Your Health Is Our Priority Thank You For Choosing Salem Pharmacy

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Patient

Emily Johnson

Receipt #

SP-784921

Phone

(555) 123-4567

Pharmacist

Michael Reed

Member ID

SP-552841

Date: 6/9/2026 Time: 1:22:55 PM

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Vitamin D3 1000 IU (90 Ct)

$14.99

Allergy Relief Tablets (24 Ct)

$12.49

Digital Thermometer

$19.99

Hand Sanitizer 8 oz

$4.99

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Subtotal$52.46

Tax$1.74

Total

$54.20

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Payment MethodCredit Card (VISA)

Card Last 41234

Entry MethodChip

Authorization Code482915

StatusAPPROVED

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1234567890

Please retain this receipt for your records. Prescription and over-the-counter purchases may be eligible for reimbursement depending on your healthcare plan. Thank you for shopping with Salem Pharmacy.

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Salem Pharmacy Receipt

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