Erica Smith - ClientID #187421



ID #Order DateSent DateStatusShip StatusValue
90087720 Sep 11, 2024Sep 15, 20249410836106051935999895$82.00
90087686 Sep 08, 2024Sep 12, 20249410836106051916525327$3,952.00

Comments on the Client
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SENT HISTORY
Gonal F 900IU (174)
Sep 12, 2024 x 5
Menopur 75 IU (219)
Sep 12, 2024 x 4
Ovidrel 250 mcg (261)
Sep 15, 2024 x 1
Sep 12, 2024 x 1
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RX DateDrugSizeTotal on RX# Left
14   
110   
108   
First Name Phone
Last Name Mobile
Signature Waived (Not yet active)
Type of ID
ID #

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Doctor Clinic
Date of Birth Origin
Gender Joined On.. September 08, 2024
Address Affiliate
Apt#/Unit # Credit Card Info
City CC Number
State CVV
Country Exp Date /
Zip ACH Info
Email ABA/Routing #
Password Account #
Date To Call Bank Name
Do Not Call Name on Account
Black Listed
Do Not Email (anything) Send Reminder Email
Medical Information
Doctor Dr. Phone #
Dr. Email Dr. Fax #
Conditions














Allergies
Meds/Supplements
WooCommerce Information
(IP)Woo ID     (IP)Woo Username
Referral ID
(ReeKooz)Woo ID (ReeKooz)Woo Username
UBAcare ID (RXFor.ME) Woo ID    

NOTE: This will NOT adjust any information on existing orders.