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Partly-printed form headed "Prescription Blank - National Prohibition Act," one page, 6.5 x 4.25, May 24, 1923. Issued under the authority of the National Prohibition Act, a medicinal liquor prescription listing the "Rx" as "Wisky," filled by a pharmacist in Chicopee, Massachusetts. Text printed in the lower left notes: "This prescription must not be refilled." In fine condition, with a central vertical fold.
