Genoa Pharmacy Workbench

Optum Rx Genoa Pharmacy Workbench Pharmacy Care Services · Pilot Pharmacy

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Prescriber record

Synthetic, Provider 1 #990258

NPI0000990258

DEA—

State license—

Phone / fax— / —

Address—

StatusActive

Doctors.Isa

Read only

Phone extension—

Refill phone—

Medicaid identifier—

Generic substitution codeA Raw legacy value

Legacy eRx associationNot imported

Prescribing totalsNot imported

Medication	Patient	Rx date	Status
ALCOHOL PADS Rx 37204	Synthetic, Demo 1	2026-09-11T00:00:00Z	Active
DEMO PACKAGE SMALL BOTTLE #1 1 Rx 37203	Synthetic, Demo 1	2026-09-11T00:00:00Z	Active
DEMO PACKAGE SMALL BOX #5 Rx 37202	Synthetic, Demo 1	2026-09-11T00:00:00Z	Active
DEMO PACKAGE SMALL BOX #5 Rx 37201	Synthetic, Demo 1	2026-09-11T00:00:00Z	Active
DEMO PACKAGE SMALL BOX #5 Rx 37200	Synthetic, Demo 1	2026-09-11T00:00:00Z	Active
DEMO PACKAGE SMALL BOX #5 Rx 37198	Synthetic, Demo 1	2026-09-11T00:00:00Z	Active
DEMO PACKAGE SMALL BOX #4 4 Rx 37196	Synthetic, Demo 1	2026-09-10T00:00:00Z	Active
DEMO PACKAGE SMALL BOX #3 3 Rx 37192	Synthetic, Demo 1	2026-09-10T00:00:00Z	Active
DEMO PACKAGE SMALL BOX #2 Rx 37189	Synthetic, Demo 1	2026-09-10T00:00:00Z	Active
DEMO PACKAGE SMALL BOX Rx 37184	Synthetic, Demo 1	2026-09-09T00:00:00Z	Active
COMPOUNDED ORAL LIQ Rx 37183	Synthetic, Demo 1	2026-09-09T00:00:00Z	Active
12 HR NASAL 0.05% SPR 0.05% Rx 37182	Synthetic, Demo 1	2026-09-09T00:00:00Z	Active
12 HR NASAL 0.05% SPR 0.05% Rx 37180	Synthetic, Demo 1	2026-09-07T00:00:00Z	Active
12 HR NASAL 0.05% SPR 0.05% Rx 37179	Synthetic, Demo 1	2026-09-07T00:00:00Z	Active
12 HR NASAL 0.05% SPR 0.05% Rx 37177	Synthetic, Demo 1	2026-09-07T00:00:00Z	Active