Organization
QUALGEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN P RINEY (CEO)
(405) 551-8216
Entity
Organization
Contact information
Practice address
14844 BRISTOL PARK BLVD, EDMOND, OK 73013
(405) 551-8216
(405) 286-3755
Mailing address
301 ENTERPRISE DR, EDMOND, OK 73013
(405) 551-8216
(405) 286-3755
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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