Tracking Details - #3313

Tracking Information
Case No: 3129
Order Date: 01/29/2026
Due Date:
Template Packet: New York HIPAA Authorization Packet
Scope:
Location: 161st Pharmacy Inc
275 East 161st Street
Bronx, NY 10451
Phone: (718) 742-3400 • Fax: 718-742-3416
Patient: Hugh Jackman
DOB: 11/11/1950 • SSN: ***-**-4516
161st Pharmacy Inc
275 East 161st Street
Bronx, NY 10451
Phone: (718) 742-3400 • Fax: 718-742-3416
Current packet matches the recommended template: New York HIPAA Authorization Packet.
Hugh Jackman
DOB: 11/11/1950 • SSN: ***-**-4516
Requested Records
Record Status
Films Pending
Medical Pending
File Name Uploaded Date Uploaded By
No documents found.
Tracking Step Log
Step Due Date Remarks Publish Entered
Received Order, In Progress Yes 1/29/2026 10:21 PM
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