HealthCare Pharmacy
Store #RX-2045
Community Prescription Center
1250 Main Street
Chicago, IL 60605
United States
Phone: (312) 555-7821
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Your Health Is Our Priority
Thank You For Choosing HealthCare Pharmacy
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Date: 6/11/2026
Time: 6:45:40 PM
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1
Amoxicillin 500mg (30 Capsules)
$18.99
1
Ibuprofen 200mg (100 Tablets)
$9.49
1
Vitamin D3 Supplement
$12.99
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Payment MethodCredit Card (VISA)
Card Last 41234
Entry MethodChip
Authorization Code582913
StatusAPPROVED
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1234567890
Please retain this receipt for insurance records
Refills can be requested online or by phone
Thank you for choosing HealthCare Pharmacy!