Organization
INTEGRIS PROHEALTH INC
Active
Other names
INTEGRIS Pharmacy 4187
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L WEED (TREASURER)
(405) 951-2737
Entity
Organization
Contact information
Practice address
4833 INTEGRIS PKWY, EDMOND, OK 73034-8864
(405) 657-3900
(405) 471-0030
Mailing address
3435 NW 56TH ST STE 301A, OKLAHOMA CITY, OK 73112-4428
(405) 713-7407
(405) 815-6445
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1-6899
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100710550B
—
OK
05
—
100710550G
—
OK
01
—
2131512
PK
—
Enumeration date
09/02/2011
Last updated
11/06/2025
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