Pharmacy Systems Technical Survey

Pharmacy Legal Name: Sample
Pharmacy DBA Name: Sample Pharmacy #12345
Survey Date: 11/11/08
Store ID: 12345
Survey Performed by: FE Alan McRae

Contact: Bill Bailey
Address: 1 East Main St
Anytown, NC 99999
Tel: 999-999-9999

DeviceID Device Qty Mfr/Vendor Model# Serial# Notes
SurfBoard Broadband Modem 1 Motorola SB5120 199999702904287801013999 Charter
Communications
  WAN IP         IP 99.159.99.99 Static=N
Netopia Firewall/Router 1 Netopia 4686-XL 999999170110 1 port open
  Network Switch 0        
---------- Network Cabling         Cat5
PBX PBX 1 Toshiba HKSU705 199999 Strata VIe
  Telephone #'s       Main 999-295-0777
  Telephone #'s       Secondary 999-295-0765
  Telephone #'s       Fax 999-295-2379
  Telephone #'s       Modem

999-295-0794?
Line dead

  Telephone #'s       Modem 999-295-9259
  Telephone #'s       Credit Card 999-295-9396
             
  IVR 0        
             
PS1 Pharmacy System 1 Dell Optiplex GX280 Tag 9T39S IP 192.168.1.99
Modem Pharmacy Modem 1 Motorola v.3225L 5969679 Line dead!
  Pharmacy Monitor 1 Viewsonic VE710b P1Q099990455 LCD=Y
  Pharmacy OS    XP Pro      
  Pharmacy Software   PS1     Ver 19.1.95
  Pharmacy UPS 1 Tripplite InternetOffce 700 AGOM9999USBKSR9  
  Dispensing Robot 0        
             
PS2 Pharmacy Terminals 1 Dell Optiplex GX1   OS WinNT
  Pharmacy Monitor 1 Compaq 5500 299BP43AE999 LCD=N
  Pharmacy UPS 1 IBM OfficePro 500    
             
Oki320 Pharmacy Printer 1 1 Oki Microline 320 Turbo 008B999986799  
T642 Pharmacy Printer 2 1 Lexmark T642    
             
ECR POS Register 1 ECR ER-3720 09081999499  
  POS Printer   built-in      
  POS Barcode Scanner 0        
CCR Credit Card Machine 1 Verifone Omni 5700 299-989-299 Vx570
  Signature Capture 0        
  POS Modem 0        
  POS UPS 0        
CR Check Reader 1 ingenico MR3000 4199999999001635 eCheck3000
             
PC1 Other PC's 1 Dell Dimension 2400 Tag 19Y8999 Dell LCD
Monitor
PC2 Other PC's 1 HP Compaq dc7600 MXL99999MX HP 1740 LCD
Monitor
Office
Connect
Misc Device 1 3Com OfficeConnect 8 Port 00500/LW2G9G09990499 For Pharmacy Printers
             
  Counter Depth   29"      
  Counter Height   39.5"      
  Counter Length   19 feet      
Notes: PS1 & PS2 computers are heavily clogged with dust. No network wall jacks used in facility. Cat5 Cables hang from ceiling, run along floor. RJ11 jacks for phone system professionally installed.
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