Healthcare Provider Details

I. General information

NPI: 1750106001
Provider Name (Legal Business Name): QUANTUM PHARMACEUTICALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2024
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1314 COMMERCIAL AVE
MOUNDS OK
74047
US

IV. Provider business mailing address

PO BOX 334
BIXBY OK
74008-0334
US

V. Phone/Fax

Practice location:
  • Phone: 918-938-0503
  • Fax: 918-938-0080
Mailing address:
  • Phone: 918-938-0503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BERT SANCHEZ
Title or Position: OWNER
Credential:
Phone: 479-263-2690