Organization
QUALGEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAUN RINEY (CEO)
(405) 818-9029
Entity
Organization
Contact information
Practice address
2217 S FRETZ AVE STE 120, EDMOND, OK 73013-3851
(140) 551-8216
Mailing address
301 ENTERPRISE DR, EDMOND, OK 73013-3918
(140) 551-8216
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
01/08/2025
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