Kakaotalk ID: Cosmereg
+44 20 33182439
+1 727 3509380
00308 491 0226

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Drug Establishment Registration Form

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Establishment

Name

Street Address

City

State

Postal Code

FDA Registration Number

DUNS Number

Contact Person Name

Job Title

Mailing Address

City

State

Postal Code

E-mail

Tel Number

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Type of Operation

Manufacturer

Repack

Relabel

API Manufacture

Private Label Distribution

Brand Owner

Analytical Lab

Sterilize

Other

Other (Explain)

Drug Status

OTC

Prescription

API

Veterinary

Homeopathic

Additional Information

Drug Name

Active Ingrediant 1

Active Ingrediant 2

Assay Value / %

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U.S Agent Terms and Condition

I Agree terms and conditions mentioned above. *

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Contacts

Tampa/St.Petersburg, USA +17273509380

Cosmereg LLC
7901 4th St. N STE 4016
Tampa/St. Petersburg,
FL 33702, USA

London, UK +442033182439

Cosmereg LTD
22 Eastcheap street
EC3M 1EU, London,UK

Seoul, South Korea 00308 491 0226 Kakaotalk ID: Cosmereg

Qui sommes-nous?
Nos services
FDA Registration
- FDA Medical Device Registartion
- Drug Establishment Registartion
Blog
Contactez nous