Organization
QUALMED PHARMACY INC
Active
Organization
QUALMED PHARMACY INC
Active
Other names
QualMed Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY HVAL (EXECUTIVE DIRECTOR)
(303) 790-8200
Entity
Organization
Contact information
Practice address
14 INVERNESS DR E STE H140, ENGLEWOOD, CO 80112-5646
(303) 790-8200
Mailing address
14 INVERNESS DR E, SUITE H-140, ENGLEWOOD, CO 80112-5625
(303) 790-8200
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
801
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0621804
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/28/2010
Last updated
06/05/2012
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