Organization
INTEGRIS PROHEALTH INC
Active
Other names
INTEGRIS Pharmacy 4188
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L WEED (TREASURER)
(405) 951-2737
Entity
Organization
Contact information
Practice address
5915 W MEMORIAL RD STE 110, OKLAHOMA CITY, OK 73142-2022
(405) 773-2300
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
3336C0003X
Community/Retail Pharmacy
Primary
1-6900
OK
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100239970C
—
OK
05
—
100239970E
—
OK
01
—
2121523
PK
—
Enumeration date
11/25/2009
Last updated
11/06/2025
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