The following information must be provided on each prescription subject to this subchapter:
(1) the patient’s name and address;
(2) the drug to be dispensed;
(3) directions to the patient regarding the taking of the drug and the dosage;
(4) the intended use of the drug, if appropriate;
(5) the name, address, and telephone number of the physician;
(6) the name, address, telephone number, and identification number of the registered nurse or physician assistant completing or signing the prescription drug order;
(7) the date; and
(8) the number of refills permitted.