Product Transfer Account Adjustment

ST|844|100001757~
BAA|00|RA|20210220|AM|6192955447~
N1|DB|ABC DC SACRAMENTO|11|RA0310603~
N1|SU||11|043569607~
CON|VC|V797D70168|VA~
N1|ST|CSDC TRAVIS-TRAVIS AFB CA ROOM 136|11|RC0351849~
N3|106 BODIN CIRCLE, BUILDING 791~
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N9|DI|0987543262||20210216|||L1>4187818169000020~
CON|VC|V797D70168|VA~
N1|ST|MISAWA AB MARK FOR MEDICAL MATERIEL|11|PM0059661~
N3|UNIT 5024, BLDG. 99~
N4|APO|AP|96319~
SII|ND|54738054803|11|EA|6.53|5.94|6.49~
N9|DI|0987637270||20210217|||L1>4188602230000160~
CON|VC|V797D70168|VA~
N1|ST|US NAVAL HOSP OKINAWA - HT0720 ATTN SUPPLY OFFICER N68470|11|PM0059661~
N3|PSC 482 BLDG 966 TARAWA RD CAMP FOS~
N4|FPO|AP|96362~
SII|ND|54738054803|4|EA|6.53|5.94|2.36~
N9|DI|0987637769||20210217|||L1>4188603101000380~
CTT|3~
AMT|CC|9.44~
SE|25|100001757~

844 PRODUCT TRANSFER ACCOUNT ADJUSTMENT
USING DEA AND 340B NUMBER

X12 844 Product Transfer Account Adjustment