Organization
INTEGRIS PROHEALTH INC
Active
Other names
INTEGRIS Pharmacy 4175
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L WEED (TREASURER)
(405) 951-2737
Entity
Organization
Contact information
Practice address
601 E 13TH ST STE B, GROVE, OK 74344-2962
(405) 949-3120
(405) 815-6445
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100791460B
—
OK
Enumeration date
05/15/2023
Last updated
11/06/2025
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