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<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Calibri Light",sans-serif;color:#1F497D">Awareness for sure, but it also reflects the fact that more people are injecting various types of drugs at home, mainly insulin, but I think the injectable
drugs for arthritis are on the increase as well. I see the pounds increasing with increasing numbers of people self-injecting various drugs.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Calibri Light",sans-serif;color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Calibri Light",sans-serif;color:#1F497D">I’ve pushed collection a bit here in MN through the SW and HHW programs. Counties are very involved in operating SW facilities of various types and it is
in their best interest to organize collection, even if they charge a fee, to prevent sticks. If private SW haulers complain about sharps, I tell them to place a collection bin at their facility or office for use by the public. Sure, people may not drive there,
but some will. If everyone with an interest in reducing loose sharps due to worker exposure, providing customer service or overall community concern collected and charged a nominal fee we’d take care of the issue. A nominal fee in Minnesota used to be the
amount equal to the cost of a 6 pack of beer. I think we increased that to a 12 pack or a 6 pack of specialty beer. I think that’s true for ‘Sconny as well. We have a program that charges $5 for any amount and people think they are angels for making it available.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Calibri Light",sans-serif;color:#1F497D"><o:p> </o:p></span></p>
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<p class="MsoNormal"><b>From:</b> Pharmwaste [mailto:pharmwaste-bounces@lists.dep.state.fl.us]
<b>On Behalf Of </b>Jaramillo, Jeanie<br>
<b>Sent:</b> Wednesday, August 09, 2017 2:53 PM<br>
<b>To:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> [Pharmwaste] Sharps kiosks<o:p></o:p></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="color:#1F497D">I really like the idea as well (dual pharma/sharps kiosks), Jennifer. Our kiosk liners are pretty sturdy, but I wouldn’t trust them to keep a needle on the inside! Then, the carrier reps would be at risk. But,
I’m with you in thinking there needs to be a solution. We actually found out recently that the sharps from our one-day event take back program are less expensive to dispose of then our pharmaceuticals…which shocked me! We’ve always felt it was important to
accept sharps (at the events, not at the kiosks) as we are in an area of the country that is behind the times in terms of having sharps disposal options. We’ve noted that our sharps collections have increased in weight with each event we have – likely as people
become aware that we will accept them. This is definitely a need!<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">Jeanie<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
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<p class="MsoNormal"><b>From:</b> Volkman, Jennifer (MPCA) [<a href="mailto:jennifer.volkman@state.mn.us">mailto:jennifer.volkman@state.mn.us</a>]
<br>
<b>Sent:</b> Wednesday, August 09, 2017 1:36 PM<br>
<b>To:</b> <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> Re: [Pharmwaste] New Stericycle med disposal kiosks<o:p></o:p></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Calibri Light",sans-serif;color:#1F497D">Currently, some sharps waste is autoclaved and landfilled, and some goes through incinerators. We had a medical waste incinerator in Minnesota for a couple
of years, so I figured it was an outlet, but you make a good point. Incinerators are not all designed the same way and sharps could gum up the works.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Calibri Light",sans-serif;color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Calibri Light",sans-serif;color:#1F497D">Also, liners are not required to be puncture proof, so that is another barrier. I guess I’m back to the side-by-side concept…<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Calibri Light",sans-serif;color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Calibri Light",sans-serif;color:#1F497D">Cheers all!<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Calibri Light",sans-serif;color:#1F497D">Jennifer Volkman<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Calibri Light",sans-serif;color:#1F497D"><o:p> </o:p></span></p>
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<p class="MsoNormal"><b>From:</b> DeBiasi, Deborah (DEQ) [<a href="mailto:Deborah.DeBiasi@deq.virginia.gov">mailto:Deborah.DeBiasi@deq.virginia.gov</a>]
<br>
<b>Sent:</b> Wednesday, August 09, 2017 7:50 AM<br>
<b>To:</b> Volkman, Jennifer (MPCA) <<a href="mailto:jennifer.volkman@state.mn.us">jennifer.volkman@state.mn.us</a>>;
<a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Cc:</b> <a href="mailto:mclark@micrometalsinc.com">mclark@micrometalsinc.com</a><br>
<b>Subject:</b> RE: New Stericycle med disposal kiosks<o:p></o:p></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-family:"Times New Roman",serif;color:#1F497D">The concern that I have heard about the sharps is that they cause problems for the incinerators, since the needles are still intact after burning. They get caught in the mechanical
parts and then can cause injury to the workers trying to fix it. <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Times New Roman",serif;color:#1F497D"><o:p> </o:p></span></p>
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<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b>From:</b> Pharmwaste [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>]
<b>On Behalf Of </b>Volkman, Jennifer (MPCA)<br>
<b>Sent:</b> Tuesday, August 8, 2017 6:28 PM<br>
<b>To:</b> <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Cc:</b> <a href="mailto:mclark@micrometalsinc.com">mclark@micrometalsinc.com</a><br>
<b>Subject:</b> Re: [Pharmwaste] New Stericycle med disposal kiosks<o:p></o:p></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Calibri Light",sans-serif;color:#1F497D">Why does no one make a combination sharps/pharms container with two doors and two boxes? No market because it would be too large? I have two counties that
put one of those bathroom sized sharps containers next to or on top of their pharm container, which cracks me up given the size.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Calibri Light",sans-serif;color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Calibri Light",sans-serif;color:#1F497D">I don’t think having sharps mixed in with the pharms is a large deal, since the inner liners are supposed to be puncture proof and it all goes for incineration.
Maybe someone can explain to me why adding in sharps is a problem? Is it because it adds too much volume and cost, or is there an operational or process issue? For the average citizen, it would be nice to just bag up everything and toss it in there. Less needles
laying around is also a plus for all county/city police, parks, public works type people, so it seems like adding them would be worth it for law enforcement.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Calibri Light",sans-serif;color:#1F497D"><o:p> </o:p></span></p>
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<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b>From:</b> Ed Gottlieb [<a href="mailto:EGottlieb@cityofithaca.org">mailto:EGottlieb@cityofithaca.org</a>]
<br>
<b>Sent:</b> Tuesday, August 08, 2017 3:46 PM<br>
<b>To:</b> Jaramillo, Jeanie <<a href="mailto:Jeanie.Jaramillo@ttuhsc.edu">Jeanie.Jaramillo@ttuhsc.edu</a>>; Volkman, Jennifer (MPCA) <<a href="mailto:jennifer.volkman@state.mn.us">jennifer.volkman@state.mn.us</a>>; MChris Angel <<a href="mailto:chrisangel@greatlakes-us-cleanwater.org">chrisangel@greatlakes-us-cleanwater.org</a>>;
<a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Cc:</b> <a href="mailto:mclark@micrometalsinc.com">mclark@micrometalsinc.com</a><br>
<b>Subject:</b> RE: New Stericycle med disposal kiosks<o:p></o:p></p>
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</div>
<p class="MsoNormal"><o:p> </o:p></p>
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<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">The full service provided by Stericycle, the Yellow Jug Old Drugs Program, and possibly others, is a great service that appeals to many pharmacies.
<o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"> <o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Having a scale in the box to automatically alert Stericycle to empty it is an interesting innovation. It isn't a problem if a bunch of (dense) liquids were deposited, causing a premature
"full" indication. I wonder if they ever run into overfill problems when, by chance, a box gets filled only with particularly light items?<o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"> <o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Many years ago, the lack of a commercially available, narrow profile drop-box pushed me to partner with a manufacturer to design one. The solution I came up with to determine the
fill level without unlocking the box was to install two frosted Plexiglas windows (roughly 1" x 6") on the back half of the top. You can shine a flashlight in one and see the level through the other. The "frosting" prevents details, like personal information
on labels, from being readable. Sorry, the web site doesn't show the view ports.
</span><a href="http://www.takebackexpress.com/slimline-medication-collection-unit/"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif">http://www.takebackexpress.com/slimline-medication-collection-unit/</span></a><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">
All but one of our nine law enforcement partners choose this box over the commonly sold ones because it is only 14" deep and fit better in their tight spaces. <o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"> <o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Our law enforcement partners empty their bins (that hold 3.5 cubic feet/26 gallons) and transport the inner liners to the Sheriff, who has lots of secure storage space (a trailer
we bought for this purpose). Custody is transferred and the Sheriff holds it until the DEA collection day pick-up.<o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"> <o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Ed Gottlieb<br>
Chair, Coalition for Safe Medication Disposal<br>
Board Member, New York Product Stewardship Council</span><span style="font-size:12.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Industrial Pretreatment Coordinator</span><span style="font-size:12.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Ithaca Area Wastewater Treatment Facility</span><span style="font-size:12.0pt;font-family:"Tahoma",sans-serif;color:black"><br>
</span><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">525 3</span><sup><span style="font-size:12.0pt;font-family:"Tahoma",sans-serif;color:black">rd</span></sup><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">
Street</span><span style="font-size:12.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Ithaca, NY 14850</span><span style="font-size:12.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">(607) 273-8381</span><span style="font-size:12.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">fax: (607) 273-8433</span><span style="font-size:12.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p></o:p></span></p>
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<p class="MsoNormal" style="margin-bottom:12.0pt"><b><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">From:</span></b><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"> Pharmwaste [pharmwaste-bounces@lists.dep.state.fl.us]
on behalf of Jaramillo, Jeanie [Jeanie.Jaramillo@ttuhsc.edu]<br>
<b>Sent:</b> Tuesday, August 08, 2017 3:51 PM<br>
<b>To:</b> Volkman, Jennifer (MPCA); </span><a href="mailto:pharmwaste@lists.dep.state.fl.us"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif">pharmwaste@lists.dep.state.fl.us</span></a><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><br>
<b>Subject:</b> Re: [Pharmwaste] New Stericycle med disposal kiosks</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="color:#1F497D">We use a kiosk as well, although we maintain it, empty, affix vendor labels and ship on our own. My unwritten question was whether the technician shipped the liner from the pharmacy/site vs. hauling it away in
their truck (can’t remember if they can legally do that.) I like that it has a sensor for notification of when it’s full, although I don’t like the idea of locking the drop drawer until the vendor comes. As you all know, experience has shown that if customers
come to dispose of their meds and the bin is locked, they’ll simply throw them in the trash on their way out the door.
</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black"> <o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">It would be neat if the bins could electronically communicate directly with the vendor when they’re full and pickup could then be “on demand”. Otherwise, it seems the vendor would be coming either when the bin
is not full yet or well after it’s full. We are currently spending about $4,500/year on our bin. Some months we may fill one box, other times two boxes can be filled in one day. It’s real sporadic. We still do two community-wide take back events per year and
they continue to grow in spite of the presence of 4 disposal bins in our community (1 Walgreens, 2 sheriffs’ depts., and us). I’m really hoping for the day that all pharmacies have disposal bins.
</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black"> <o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black"> <o:p></o:p></span></p>
<p class="MsoNormal"><i><span style="color:#1F497D">Dr. Jeanie Jaramillo-Stametz</span></i><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><i><span style="color:#1F497D">Managing Director, Texas Panhandle Poison Center</span></i><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><i><span style="color:#1F497D">Asst. Professor, Pharmacy Practice</span></i><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><i><span style="color:#1F497D">Director, Medication Cleanout</span></i><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><i><span style="color:#1F497D">Texas Tech University Health Sciences Center</span></i><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><i><span style="color:#1F497D">School of Pharmacy</span></i><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><a href="mailto:jeanie.jaramillo@ttuhsc.edu" target="_blank"><i>jeanie.jaramillo@ttuhsc.edu</i></a><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><i><span style="color:#1F497D">Office: (806) 414-9402</span></i><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><i><span style="color:#1F497D">Voice mail: (806) 414-9299</span></i><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><i><span style="color:#1F497D">Mobile: (806) 376-0039</span></i><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><b><span style="color:black">From:</span></b><span style="color:black"> Volkman, Jennifer (MPCA) [</span><a href="mailto:jennifer.volkman@state.mn.us">mailto:jennifer.volkman@state.mn.us</a><span style="color:black">]
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<b>Sent:</b> Tuesday, August 08, 2017 2:38 PM<br>
<b>To:</b> Jaramillo, Jeanie <</span><a href="mailto:Jeanie.Jaramillo@ttuhsc.edu">Jeanie.Jaramillo@ttuhsc.edu</a><span style="color:black">>;
</span><a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><span style="color:black"><br>
<b>Subject:</b> RE: New Stericycle med disposal kiosks<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Calibri Light",sans-serif;color:#1F497D">That’s how it works. They are permitted by DEA to handle the collected liners, so they replace them, while pharmacy staff watch so everything is above board.
I believe they are servicing the Walgreens collection sites here in MN. The Sharps Compliance system operates the same way.</span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><b><span style="color:black">From:</span></b><span style="color:black"> Pharmwaste [</span><a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target="_blank">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a><span style="color:black">]
<b>On Behalf Of </b>Jaramillo, Jeanie<br>
<b>Sent:</b> Tuesday, August 08, 2017 1:41 PM<br>
<b>To:</b> </span><a href="mailto:pharmwaste@lists.dep.state.fl.us" target="_blank">pharmwaste@lists.dep.state.fl.us</a><span style="color:black"><br>
<b>Subject:</b> [Pharmwaste] New Stericycle med disposal kiosks<o:p></o:p></span></p>
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<p class="MsoNormal"><a href="http://cp.mcafee.com/d/FZsScxMA72hJ5-WqqqdNPVKVJd5x5NMQsCzBZUSCyMyUeLsQsICQQm4n73hOqenPhOrhLtNUQsIf3zhOr4vS4LUhSeGOffG2FPr9QJTEdCVPr9QJTEdCQQmktud7b_nVd5NVYsy_RXBQSmnKpvuuooKzR4kRHFGTohVkffGhBrwqrhdECXYCYqekS7XITodTdw0Q8JApRmBqDaRg-c5vgBqkfVv48JAiYWHiJj8uoFxwDIOW5iVqHsiWSPBY9QbElbJMrFW1tnQa4wA4MQeeq208zWLGAfyHVObgg14W7nuKYDt4sr4vx2jLNUPkYGHI0liuP_BosTgSyCNtwS2NF8Qg0PP1Ew69_6lyRz_d42LE6y12l5GQQYQg5plElErpudZugyg8Ww" target="_blank">http://drugtopics.modernmedicine.com/drug-topics/news/what-do-your-patients-do-unused-meds?GUID=&rememberme=1&ts=08082017</a><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="color:black">This is interesting. The system is apparently entirely managed by Stericycle. The article indicates a “technician” (i.e. Stericycle rep) will come to empty the kiosk while two people from the pharmacy site are
present. It’s not crystal clear, but sounds like that technician then ships the liner. The video panel is interesting with the ability to provide directions in different languages.
<o:p></o:p></span></p>
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<p class="MsoNormal"><i><span style="color:black">Dr. Jeanie Jaramillo-Stametz</span></i><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><i><span style="color:black">Managing Director, Texas Panhandle Poison Center</span></i><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><i><span style="color:black">Asst. Professor, Pharmacy Practice</span></i><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><i><span style="color:black">Director, Medication Cleanout</span></i><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><i><span style="color:black">Texas Tech University Health Sciences Center</span></i><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><i><span style="color:black">School of Pharmacy</span></i><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><a href="mailto:jeanie.jaramillo@ttuhsc.edu" target="_blank"><i>jeanie.jaramillo@ttuhsc.edu</i></a><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><i><span style="color:black">Office: (806) 414-9402</span></i><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><i><span style="color:black">Voice mail: (806) 414-9299</span></i><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><i><span style="color:black">Mobile: (806) 376-0039</span></i><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black"> <o:p></o:p></span></p>
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